Compliance Specialist at Kewa Pueblo Health Corporation kphc – Kewa Pueblo, New Mexico

Job Title: Compliance Specialist

Department: Compliance

Reports to: Compliance Officer

FLSA Status: Exempt

Type of Position: Full-Time

Revised Date: 08/01/2024

MISSION & VISION STATEMENT:

The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: “ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE” and the VISION OF KPHC is: “HEALTHY PEOPLE, HEALTHY COMMUNITY, and HEALTHY LIFESTYLE”.

POSITION PURPOSE:

The Compliance Specialist will play a crucial role in supporting the Compliance Officer in maintaining and ensuring adherence to the KPHC Corporate Compliance Program. The ideal candidate will have a thorough understanding of

healthcare laws and regulations, strong analytical skills, and the ability to communicate effectively. This position

requires a high level of integrity and the ability to handle sensitive information with confidentiality.

PERFORMANCE EXPECTATIONS:

In the performance of their respective tasks and duties all employees of the Kewa Pueblo Health Corporation are

expected to conform to the following:

• Uphold all principles of confidentiality and patient care to the fullest extent.
• Adhere to all professional and ethical behavior standards of the healthcare industry.
• Interact in an honest, trustworthy, and dependable manner with patients, employees, and vendors.
• Possess cultural awareness and sensitivity.
• Maintain a current insurable driver's license.
• Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and
• procedures.

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES:

• Assist the Compliance Officer in monitoring and ensuring compliance with federal, state, and local health care regulations.
• Stay current with changes in health care laws and regulations and assess their impact on the organization.
• Aid in the development, review, and implementation of compliance policies and procedures.
• Assist in designing and delivering compliance training programs for staff to promote awareness and understanding of compliance obligations.
• Participate in internal audits to ensure compliance with regulatory requirements and organizational policies.
• Assist in developing audit tools and methodologies to monitor compliance effectively.
• Support the investigation and resolution of compliance-related incidents and complaints.
• Document findings, track corrective actions, and ensure timely resolution.
• Assist in identifying and assessing potential compliance risks within the organization.
• Help develop and implement strategies to mitigate identified risks.
• Prepare and maintain accurate records and reports on compliance activities and findings.
• Assist in reporting compliance issues to the Compliance Officer and senior management.
• Work closely with other departments, including Legal, HR, and Clinical Operations, to support compliance initiatives.
• Participate in cross-functional meetings and projects as needed.

MINIMUM MANDATORY QUALIFICATIONS:

Education:

Experience:

Mandatory Knowledge, Skills, Abilities, and Other Qualifications:

• Member of the Santo Domingo Tribal Community.
• Knowledge of relevant health care laws and regulations, including HIPAA, Stark Law, Anti-Kickback Statute, and CMS regulations.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to handle confidential information with discretion.
• Proficiency in Microsoft Office Suite and compliance-related software tools.
• Strong organizational skills and attention to detail.

PREFERRED QUALIFICATIONS:

• Bilingual skills in English and the Keres native language.
• Experience working with Native American communities.
• Experience working in a primary care/mental health integrated healthcare center.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. Travel during the daytime, as well as limited overnight travel may be required from time to time. This position may expose the incumbent to certain health risks that are inherent when working within a health center facility.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 50 pounds.

MENTAL DEMANDS:

There are several deadlines associated with this position. The employee must also multi-task and interact with a wide variety of people on various and, at times, complicated issues. The ability to communicate effectively, meet deadlines, and multi-task is essential to this position.

OTHER:

All employees must fully uphold all principles of confidentiality and patient care. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination.

Disclaimer: The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.

Applicants will be considered on the basis of whether they meet the minimum mandatory qualifications identified on the position description for the position applied for, including requisite experience, relevant education and possession of required licenses and certifications. Among applicants who meet all minimum mandatory qualification for a position, preference will, to the maximum extent feasible, be granted to qualified Native American applicants.