Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
Implements and manages the design, development and implementation of the compliance, quality improvement, accreditation, and patient satisfaction activities with measurable results. Drives the compliance, quality, and accreditation processes to include policy and procedure management and organization. Collects data, prepares statistical reports and analysis to improve the services provided within Health System. Maintains strict confidentiality. Responsible for the development, implementation, and enforcement of the clinic’s compliance programs. Consults on an ongoing basis on related issues with operation managers and executives. May present status and results of programmatic activities to health board. Ensures conformance with applicable laws, regulations, and accreditation standards which may include Medicare/Medicaid reimbursement, EEO, AAAHC, Intermediate Sanctions legislation, hazardous waste disposal, ADA, etc. Plans, organizes and directs implementation of the health system strategic plan within strict adherence to the guidance and oversight of the executive director and health board, including tracking of budgeted time and dollars of these compliance programs. Will work under the supervision of the Health Deputy Director (in cooperation with the Medical Director). Position primary location is the Little Axe Health Center, but is also responsible for Shawnee Clinic compliance and quality activities. Key competencies are knowledge of Clinical Compliance Areas such as CLIA, OSHA, Fire & Safety; Working knowledge of summary of 2013 Omnibus HIPAA Final Rule information. Must have working knowledge of how to conduct a Risk Assessments; Fraud, Waste, and Abuse, American Recovery & Reinvestment Act (ARRA), and FERA programs; Medical Identity Theft Compliance; Revisions to HIPAA & BAA Compliance; False Claims Act (FCA), Affordable Care Act & Impact on Health Care; Penalty structures involved for Providers, Administrators, Coders and Staff if Fraud or Abuse Charges are Raised; Whistleblower, Qui Tam and Self Disclosure, Corporate Integrity Agreements; Anti-Kickback Statutes; Risk of Professional Courtesy; Stark Provisions & Compliance; Physician Compensation Compliance; and Managing & Assessing Risk.
To be solution oriented and work well in a team environment.
Working with the organization leadership and staff to create policies and procedures that ensures good quality care and minimize harm to the patient.
Management and organization of policy and procedure documentation.
Drives the accreditation process for the health system.
Collaborates and works with department managers from IT, Electronic Health Records, and H.I.M. to develop reports necessary to ensure objectives/measures are being met.
Provides programmatic support as necessary to the health system’s directors to ensure overall compliance is maintained; ensures appropriate tracking and reporting mechanisms are in place for non-compliant areas for appropriate visibility, coordination, and attention by management and leadership of the health system.
Constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement.
Oversee the organization's reporting of patient care benchmarks and measurements to federal and state authorities.
Responsible for management and oversight of
Training and educating the organization's staff to promote good quality practices and ensure compliance with all applicable laws and regulations.
Keeping up to date with all federal and state laws and regulations.
Complete administrative duties such as ensuring state medical licenses are up-to-date and checking the status on new license applications.
Coordination and preparations of medical staff functions; preparing for CME meeting and board certification maintenance and assisting with obtaining reimbursement for travel/CME related expenses.
Responsible for documentation of minutes at all medically related staff meetings.
Involved in working with others regarding patient satisfaction/complaint issues, tracking, reporting, and responding.
Other duties as assigned by the Executive Director, Deputy Director, or Medical Director.
Education, Qualifications & Requirements
Bachelor’s degree or equivalent in health sciences or related field, Master’s degree preferred.
Certified in Healthcare Compliance (CHC) with Health Care Compliance Association (HCCA) preferred.
Preferred three years of patient care or healthcare quality experience.
Knowledge of accrediting and regulatory agencies in regard to credentialing/medical staff services.
High degree of independence, flexibility, initiative and commitment.
Must possess skills in computers, decision making, problem solving, communication, multitasking, analytical expertise, and confidentiality.
Demonstrated awareness and value of cultural competence.
Knowledge, Skills and Abilities
Ability to apply process methodology, manages projects, and analyzes findings.
Outstanding interpersonal skills, requisite poise, judgment and trustworthiness to work collaboratively with internal and external groups such as the person's immediate management, the Tribe's elected officials, the Tribe's citizens, and Federal and State officials.
Proven leadership and team building skills, creative thinking and problem solving skills.
Able to work independently, work under pressure and to deal with detail.
Excellent verbal and written communication skills.
Excellent problem solving skills including the problems inherent to a health clinic setting.
Requires frequent communication with supervisor.
Must possess a valid Oklahoma Driver’s License.
Must be able to pass a background check and drug screen.
Physical Requirements and Working Conditions
Must be able to sit, stand, stoop, bend or kneel for long periods of time.
Sitting or standing or walking for long period of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking hearing and visual acuity.
Frequent lifting (up to 15 lbs)
Occasional lifting (up to 30 lbs)
Native American Preference/EEO/Drug Free Workplace
6 months 3 days ago
Tribal Preference/Native American Preference/EEO/Smoke Free/Drug Free Workplace Indian preference applies to all positions, but all resumes will be accepted.
Forward Completed Absentee Shawnee Tribe applications with resume to: Absentee Shawnee Tribe Human Resources Department 2025 South Gordon Cooper Dr. Shawnee, OK 74801 Fax: 405-273-2710 Email: HR@astribe.com