Director of Compliance

About us Five Horizons Health Services (FHHS) is a nonprofit community-based organization that provides high-quality, patient-centered medical, prevention, testing, and case management services in 7 locations across the Alabama Black Belt and East Mississippi.

Position Purpose:

The Director of Compliance is responsible for RSR, HIPAA, OSHA, Policy Management, Audit Management, and ensuring FHHS operates within the guidelines of all healthcare regulatory frameworks.

Reports To:

Chief Systems Officer Essential Functions:

RSR

• Collaborate with the EMR Department and other applicable departments to ensure data collection requirements for the Ryan White Service Report (RSR) are met
• Prepare and submit the annual RSR report for the full system
• Ensure RSR data is included in CQI activities, when applicable HIPAA
• Serve as the HIPAA Privacy Officer for the full system
• In collaboration with the HIPAA Security Officer, create, implement, and enforce the

FHHS HIPAA

Privacy and Security Program

• Ensure that

FHHS' HIPAA

privacy policies and procedures sufficiently protect the organization's ePHI and PHI; Develop policies and procedures which are up to date with relevant state and federal laws

• Monitor the annual HIPAA workforce training for the organization
• In collaboration with the HIPAA Security Officer, conduct HIPAA security risk assessments to monitor administrative, physical, technical, and organizational safeguards
• Investigate and address security incidents regarding potential ePHI or PHI breaches Policy
• Ensure the development of a system-wide policy creation and monitoring system
• Collaborate with HR to ensure publication and distribution of all relevant agency policies
• Ensure familiarization of staff with system-wide policies, SOPs, and work procedures
• Ensure adherence to regulatory compliance with standards, norms, and other regulatory requirements by collaborating with departmental leadership
• Consistently analyze, monitor, and enhance organizational policies OSHA
• Oversee the OSHA program for the full system
• Work with a cross-functional team to establish, execute, and maintain OSHA program requirements and to make necessary improvements System-wide Compliance
• Develop Compliance Program Plan for the full system
• Develop mechanisms and processes to monitor system-wide compliance
• Provide ongoing education to FHHS staff on best practices regarding healthcare compliance
• Develop and review organization-wide compliance training programs, ensuring content remains current with regulatory requirements
• Complete system-wide trainings Administrative
• Supervise Compliance Manager
• Actively participate as a member of the Senior Leadership Team
• Actively participate in Five Wide meetings Audit Management
• Direct organizational readiness and execution of site visits
• Coordinate with departments to ensure accuracy and availability of all documents
• Maintain a comprehensive knowledge of all grant-specific requirements
• Attend relevant site visits and actively participate
• Complete Tri-Annual Report Additional Requirements
• Maintain strict attention to detail
• Complete all tasks fully and according to specifications
• Organize work effectively and demonstrate responsibility
• Meet attendance requirements consistently
• Work independently with limited supervision
• Comply with all FHHS core policies and procedures
• Interact positively with co-workers, managers, supervisors, clients, and vendors, representing FHHS professionally Physical Requirements
• Lift at least 30 pounds
• Carry, push, and pull occasionally
• Adapt to varying work hours, including evenings, nights, and multiple locations
• Engage with a diverse population
• Stand or sit for extended periods
• Participate in training sessions, presentations, and meetings Work Environment
• In-office, remote, or hybrid position
• Requires occasional travel to all sites in the full system

Education/Professional:

• Minimum of 3-5 years of experience in healthcare compliance, HIPAA, healthcare operations, or related field required
• Master's degree in healthcare, business, or other applicable field preferred
• Working knowledge of HIPAA, OSHA, and general healthcare regulatory frameworks required

Job Type:

Full-time Pay:

From $80,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Parental leave Retirement plan Vision insurance Application Question(s): This position requires the employee to reside in Alabama. Do you reside in Alabama? If not, are you willing to relocate?

Experience:

Data analytics: 1 year (Preferred)

Work Location:

In person