Associate Director overseeing compliance and risk management at Clinica Sierra Vista. Leading strategic initiatives for regulatory compliance and risk reduction in healthcare deliveries.
Responsibilities
Provides strategic leadership for the development, implementation, and continuous improvement of the organization’s Compliance Program.
Oversees day‑to‑day operations of the Compliance Program to ensure prevention of illegal, unethical, or improper conduct.
Ensures adherence to BPHC and FTCA requirements, including Clinical Standards and Clinical Guidelines.
Oversees implementation, training, and monitoring of the Red Flag Rule.
Directs credentialing and privileging processes for licensed providers; ensures compliance with FTCA deeming regulations.
Ensures required checks of OIG and GSA exclusion lists for all employees, medical staff, and contractors.
Leads independent investigations of alleged unethical or improper conduct; ensures corrective actions are implemented and monitored.
Oversees periodic review and revision of Standards of Conduct in collaboration with the CHRCO.
Coordinates with other departments to ensure compliance issues are appropriately investigated and resolved; consults with legal counsel on complex matters.
Directs uniform handling of compliance violations and ensures appropriate investigative procedures are followed.
Serves as an independent review body for compliance concerns in the absence of the CHRCO.
Provides strategic oversight of risk identification, trend analysis, and prioritization of improvement initiatives; guides staff in implementing corrective actions and preventive strategies.
Ensures organizational compliance with all state and federal regulations related to patient safety, quality improvement, and risk mitigation.
Oversees investigations of incident reports, patient complaints, and patient care issues; ensures timely follow‑up and directs staff in developing safety improvements based on identified risks.
Leads the development, implementation, and annual review of the organization’s Risk Management Plan.
Serves as a senior liaison between practitioners, malpractice carriers, and insurance risk managers; supports the CHRCO in risk‑related negotiations and educational initiatives.
Provides executive oversight of the incident reporting system, ensuring effective policies, training, and reporting mechanisms are in place.
Directs the flow of incident information to medical staff and nursing peer review processes; utilizes benchmarking data to inform decision‑making.
Oversees development of loss control measures related to patient care complaints, access to care, and treatment concerns.
Prepares litigation risk summaries for outside legal counsel, the CEO, and the CHRCO; manages claim documentation and ensures adherence to Claims Management Procedures.
Leads the design and implementation of preventive risk management programs; ensures staff receive ongoing training in documentation, reporting, and risk‑related procedures.
Serves as the organization’s expert resource on risk reduction, maintaining current knowledge of industry trends and best practices.
Requirements
Bachelor’s degree (BA or BS) in business administration, law, or related field required
Master’s degree in business, law, or related field preferred
Manager-level experience in risk and compliance, preferably in a healthcare or regulated setting
Demonstrated organizational, management, supervisory, and teaching skills in a health care delivery organization
Able to multitask, prioritize, and manage time efficiently
Valid California driver’s license, auto insurance, and personal transportation.
Benefits
Competitive pay which matches your abilities and experience
Health coverage for you and your family
Generous number of vacation days per year
A robust wellness plan and health club discounts
Continuing education assistance to grow and further your talents
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