Corporate Compliance and Patient Advocacy Officer

Overview

Health Services, Inc. (HSI) is seeking a highly experienced and results-oriented Corporate Compliance and Patient Advocacy Officer (CCO) to lead our comprehensive compliance, internal audit, and patient experience initiatives. This critical leadership role requires an individual with a strong background in compliance audits and the ability to drive ethical conduct, regulatory adherence, and exceptional patient relations across the organization.

Key Responsibilities and Strategic Focus

The CCO's duties are strategically split between rigorous compliance management and direct patient advocacy:

1. Compliance & Audit Leadership

• Lead the Corporate Compliance Program (CCP): Supervise the implementation, ongoing planning, and evaluation of the CCP.
• Conduct Operational Audits: Lead and execute mock Operational Site Visit Audits across all clinics to ensure regulatory and policy adherence.
• Regulatory Assurance: Assure HSI complies with all applicable local, state, and federal business and healthcare-related statutes, laws, and regulations.
• Billing Integrity: Monitor agency provider practice patterns by random sampling of coding and billing to ensure accuracy.
• Investigation: Investigate suspected intentional abuse of agency resources or unethical misconduct, including any scheme to defraud a healthcare benefit program.
• Contract Management: Take full responsibility for managing all vendor and independent contractor contracts, ensuring timely renewal and non-expiration.

2. Patient Advocacy Liaison & Board Reporting

• Patient Advocacy: Serve as the primary Patient Advocacy Liaison, responding to and investigating all patient complaints.
• Complaint Tracking: Establish and maintain a centralized mechanism for tracking patient complaints by clinic and reason to drive continuous quality improvement.
• Board Presentation: Prepare and deliver a comprehensive quarterly presentation to the Board of Directors covering: patient complaint trends, vendor/contract status (including OIG screening results), HIPAA compliance review, and Good Faith Estimate (GFE) adherence.

Qualifications

Education and Experience

• Bachelor's degree required, preferably in a health-related field. Master's degree preferred.
• Minimum of five (5) years of experience in compliance, review, assessment, and monitoring activities, with a proven track record in leading and executing compliance audits.
• Relevant professional certification (e.g., Certified in Healthcare Compliance - CHC) is highly desirable.

Knowledge, Skills, and Abilities

• Must be self-motivated and possess exceptional communication, interpersonal, and organizational skills.
• Ability to work independently as well as cooperatively in a team effort.
• Demonstrated ability to write professional audit reports, policies, and formal presentations.
• Ability to deal effectively with individuals from diverse backgrounds and cultures.

Pay: From $65,000.00 per year

Benefits:

• AD&D insurance
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Loan forgiveness
• Loan repayment program
• Paid time off
• Vision insurance
• Wellness program

Education:

• Bachelor's (Required)

Experience:

• Compliance management: 3 years (Required)
• Community health center: 1 year (Preferred)
• Patient interaction: 2 years (Preferred)

License/Certification:

• Certified in Healthcare Compliance (Preferred)

Work Location: In person