Job description

Under supervision of the COO and Risk Manager and as a part of the Lasante Administrative Team, develops,

facilitates, implements and continuously evaluates and updates the strategic and business plans, corporate

compliance plan and policies and health information technology for the Community Health Centers

(CHCs). In addition, the position continuously monitors and analyzes state and federal legislation to

determine impact on Community Health Centers Represents the CHC’s, and Health Department at

various meetings.

Essential Functions:
1. Develops, implements, evaluates and updates work, business and strategic plans. Coordinates

community assessment and uses information to develop FQHC scope of work. Develops and

coordinates programming expansions and new sites and facilities.

2. Serves as the corporate compliance officer for the Community Health Centers. Develops and

monitors the CHC Corporate Compliance Plan with state and federal laws, regulations, and policies.

Develops, monitors, coordinators and submits the CHC’s Federal Tort application. Analyzes and

assesses compliance with Federally Qualified Health Center standards and requirements including

Federal Tort Claims Act.

3. As part of the corporate compliance program, oversees the Quality Assurance (QA) Program for the

community health center network. Assists QA staff in developing policies and procedures and

monitors program compliance through measuring program outcomes and activities. Assists staff in

tracking and reporting program outcomes and ensures that the QA program is aligned with the

corporate compliance program and grant and/or contract requirements. Reviews and monitors incidents and incident reporting.

4. Directs and works with the technology team to implement and manage health information technology,

including electronic medical records, patient registries and patient management systems in

coordination with the MIS department. Assures compliance with meaningful use regulations and

serves as HITECH/HIPAA privacy and compliance officer. Develops related HITECH/HIPAA

policies and procedures. Conducts annual HIPAA training and updates for staff and contractors.

5. Performs financial management functions. Develops budgets, monitors revenue and expenses and

prepares financial reports. Researches and analyzes reimbursement and payment methodologies to

ensure highest reimbursement for services.

6. Performs personnel management functions for staff. Oversees the interviewing, selection and training

of staff. Evaluates work assignments, processes and efficiencies. Reviews staff performance and

address performance deficiencies through disciplines and, if necessary, termination.

7. Continuously monitors and analyzes state and federal legislation to determine impact on

community health centers and health benefit programs and plans and ensure compliance.

8. Develops and submits reports, assists in the completion of the annual UDS and QA report, establishes

data sets and analyzes data for trends and establishes and monitors benchmarks.

9. Represents the department at meetings with federal, state and local organizations. Promotes

community awareness of the network of community health centers.

Other Functions:
§ Performs other duties as assigned.

§ Must adhere to departmental standards in regard to HIPAA and other privacy issues.

§ During a public health emergency, the employee may be required to perform duties similar to but not

limited to those in his/her job description.

CAN BE TRAINED IN

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