POSITION SUMMARY: Under the general supervision of the Operations Director and Compliance Officer, the Compliance Coordinator is responsible for providing oversight and guidance with regulatory agencies; CMS, HRSA (340B), and local, state, and federal agencies. The Compliance Coordinator will interpret polices, review existing polices for accuracy, communicate with regulatory agencies on behalf of WIC, communicate information to the staff, and oversee staff training. The Compliance Coordinator will actively engage with the Pharmacy, Billing, and Clinical Departments.

ESSENTIAL RESPONSIBILITIES & FUNCTIONS:

• Review existing policies for accuracy and effectiveness, and prepare revisions to policies based on requirements of each regulatory agency and submit for approval

• Perform risk assessments to identify areas for significant risk and create policies to mitigate risk to the organization

• Review, edit, and update all policy manuals

• Assist Pharmacy Director with monthly and annual internal 340B compliance review

• Track and record any policy breach, communicate to Executive Team of such and train staff appropriately

• Work with department managers to review existing policies and identify any deficiencies

• Review department workflows and procedures for compliance

• Review new systems or processes to ensure compliance with regulatory agencies

• Keep abreast of policy changes and guidance from regulatory agencies, update staff and conduct training as appropriate

• Act as a liaison between regulatory agencies and the Institute

• Work with auditors and external agencies to communicate information necessary, assuring the completion of a successful audit

• Work with legal counsel in conducting regulatory compliance reviews

• Serve as primary point of contact for any compliance inquiry

• Other duties as assigned

QUALIFICATIONS:

• Bachelor’s degree in public administration, healthcare administration, business or related field and minimum of three years’ experience in healthcare

• Minimum of four years in compliance role

• Extensive knowledge of CMS policies and procedures

• Knowledge of medical terminology utilized in medical billing and current office practices and procedures

• Mathematical/accounting ability

• Experience in outreach/education and ability to facilitate professional development training to staff

• Experience in interpreting and applying regulations, policies, and procedures for proper business operations

• Ability to work with minimal supervision with meticulous attention to detail and make appropriate independent decisions

• Ability to maintain confidentiality per HIPAA requirements

• Proficiency with EHR and PM software

• Excellent organizational and analytical skills, experience with problem-solving under pressure and the ability to meet deadlines

• Ability to collaborate and work as part of a team

• Extensive knowledge with Centers for Medicare & Medicaid Services (CMS) regulations and guidance practices, Health Resources and Services Administration, 340B knowledge preferred

• Experience with Microsoft office/365

• Required physical activities while using a laptop include frequent sitting, talking, hearing, and repetitive motions of hands/wrists

• Required physical activities used less frequently include standing, walking, and reaching, kneeling, bending, and stooping

• Attend collaborative meetings and organizational retreats

PROFESSIONAL EXPECTATIONS:

• Conduct oneself in a professional manner, exhibiting the highest regard for patients and fellow employees

• Understand role and responsibilities

• Comply with all organization policies and procedures

• Continuously seek professional development and keep abreast of hemophilia and bleeding disorder breakthroughs and news

• Cultivate diversity and respect