Salt River Pima-Maricopa Indian Community
Scottsdale, Arizona, United States
Risk & Compliance Specialist
Posted 7 days ago
Job Description
Definition
Definition: The Health and Human Services Risk and Compliance Specialist under the general supervision of the Risk Manager, will play a critical role in supporting the Risk team in identifying, assessing, and mitigating risks associated with the delivery of health and human services within HHS. This position will involve ensuring compliance with federal, state, and local regulations, as well as internal policies and procedures. The ideal candidate will possess a strong understanding of tribal healthcare operations, health care compliance, and the unique challenges faced by tribal health and human services programs. This job class is treated as FLSA Exempt.
Essential Functions: (Essential functions may vary among positions, but may include the following tasks, knowledge, skills, abilities, and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.)
Examples of Tasks
Patient Advocacy & Concerns:
Risk Assessment & Management:
Compliance Monitoring:
Reporting & Documentation:
Collaboration & Communication:
Knowledge, Skills, Abilities, and Other Characteristics:
Minimum Qualifications
Education & Experience High-school diploma or equivalent required.
Equivalency: Any equivalent combination of education and experience that will allow the applicant to satisfactorily perform the duties of the job may be considered.
Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill
Special Requirements
"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified: Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.
In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).
Documents may be submitted by one of the following methods:
1) attach to application
2) fax (480) 362-5860
3) mail or hand deliver to Human Resources.
Documentation must be received by position closing date.
The IHS/BIA Form-4432 is not accepted.
Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.
Benefits:
The SRPMIC offers a comprehensive benefit package including medical, dental, vision, life, disability insurance, and a 401(k) retirement plan. In addition employees enjoy vacation and sick leave and 13 paid holidays.
Definition: The Health and Human Services Risk and Compliance Specialist under the general supervision of the Risk Manager, will play a critical role in supporting the Risk team in identifying, assessing, and mitigating risks associated with the delivery of health and human services within HHS. This position will involve ensuring compliance with federal, state, and local regulations, as well as internal policies and procedures. The ideal candidate will possess a strong understanding of tribal healthcare operations, health care compliance, and the unique challenges faced by tribal health and human services programs. This job class is treated as FLSA Exempt.
Essential Functions: (Essential functions may vary among positions, but may include the following tasks, knowledge, skills, abilities, and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.)
Examples of Tasks
Patient Advocacy & Concerns:
- Assists in training Patient Advocates
- Communicates with doctors, nurses, therapists and Purchased Referred Care (PRC) on a patient's behalf.
- First point of contact for unresolved patient complaints.
- Records, reviews, and takes steps to follow-up on and resolve patient complaints.
- Department rounding.
- Coordinates activities across multiple teams to promote positive patient outcomes.
- Develops and maintains a system to complete and track patient complaints, progress on requests and reports back weekly on status.
- Assists in solving conflicts and crisis situations with health care professionals and family members.
- Maintains timely communication with patients.
- Works on special projects as assigned.
Risk Assessment & Management:
- Assist in the development and implementation of risk management strategies and policies.
- Assists in conducting risk assessments to identify areas of potential risk within health and human services programs.
- Collaborate with various departments to gather data and analyze trends related to risks and compliance issues.
Compliance Monitoring:
- Monitor compliance with applicable federal, state, and local regulations, as well as organizational policies and AAAHC Accreditation Standards
- Assist in the preparation for audits and compliance reviews, ensuring all necessary documentation and evidence are in place.
- Support the development and delivery of training programs on compliance requirements and risk management practices.
Reporting & Documentation:
- Prepare reports on risk and compliance activities for the Risk Manager and other stakeholders.
- Maintain accurate records of risk assessments, compliance audits, and training sessions.•Document and report any incidents or breaches related to compliance or risk management.
Collaboration & Communication:
- Serve as a resource for staff regarding compliance questions and risk management practices.
- Facilitate meetings and discussions to promote understanding of risk and compliance issues.
- Participates and helps lead trainings across HHS
- Continuous Improvement:
- Stay current with changes in regulations, best practices, and industry standards related to health and human services risk management and compliance.
- Recommend improvements to policies and procedures based on findings from assessments and audits.
- Performs other job-related duties as assigned to enhance departmental operations.
Knowledge, Skills, Abilities, and Other Characteristics:
- Knowledge of the history, customs, culture, traditions and government of the Salt River Pima- Maricopa Indian Community.
- Knowledge of healthcare practices and concerns.
- Skills in strong verbal and written communication.
- Skills for building positive working relationships
- Ability to offer emotional support and sympathy.
- Ability to effectively manage diverse patients and employees in high-stress situations.
- Ability to perform problem-solving.
- Ability to adopt a team player mentality and exercise adaptability.
- Ability to emphasize the well-being of patients with risk and compliance.
- Ability to work as a productive member of a team.
- Ability to deal with sensitive issues and maintain appropriate, professional and confidential relationships.
- Ability to work collaboratively with health and human services staff to foster a culture of compliance and risk awareness.
- Ability to incorporate cultural differences, health beliefs and learning styles.
- Ability to bend, lift, and move in a manner consistent with the duties assigned.
Minimum Qualifications
Education & Experience High-school diploma or equivalent required.
- Five (5) years' healthcare experience required.
- Two (2) years' customer service experience required.
- Experience working with Native Americans strongly preferred.
- CPHRM Certification within 24 months of hire.
Equivalency: Any equivalent combination of education and experience that will allow the applicant to satisfactorily perform the duties of the job may be considered.
Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill
Special Requirements
- May be required to work beyond normal work hours including nights, weekends and holidays.
- Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".
"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified: Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.
In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).
Documents may be submitted by one of the following methods:
1) attach to application
2) fax (480) 362-5860
3) mail or hand deliver to Human Resources.
Documentation must be received by position closing date.
The IHS/BIA Form-4432 is not accepted.
Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.
Benefits:
The SRPMIC offers a comprehensive benefit package including medical, dental, vision, life, disability insurance, and a 401(k) retirement plan. In addition employees enjoy vacation and sick leave and 13 paid holidays.
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