Job Description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title - Compliance and Quality Officer

Department - Admin Exempt 

Reports to - Chief Executive Officer

Benefits - 

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position:

• Work Location: 88 Vilcom Center Dr., Suite 110, Chapel Hill, NC 27514
• Schedule : Monday through Friday

The Compliance and Quality Officer (CQO) is responsible for overseeing Piedmont Health Services’ (PHS) quality management system and ensuring adherence to all regulatory and compliance standards. The CQO designs and implements compliance policies and procedures, and quality initiatives as a roadmap for employees on expected standards of behavior, and provides guidance on how to navigate complex regulatory requirements. This position conducts compliance and risk assessments to identify compliance issues and addresses areas of vulnerability. The CQO implements appropriate controls to mitigate risks and develops comprehensive compliance training programs to educate employees.

Additional responsibilities include auditing and reviewing internal controls, analyzing and identifying compliance gaps for areas of improvement, investigating and resolving compliance violations, and monitoring industry trends and changes in regulations. This position conducts internal investigations, collaborates with legal counsel, implements corrective action plans, and ensures compliance with regulatory agencies and accreditation requirements with the Joint Commission.

The CQO must promote evidenced-based quality and patient safety initiatives, and actively support a comprehensive culture of quality throughout the organization.

Performs other duties as assigned.

Education:

•   Bachelor’s degree in healthcare administration, business administration, public health, or related field;
•   Master’s degree in related field, preferred;

Experience:

• 5 to 7 years of quality and operational experience, compliance and risk management, auditing, and developing process improvement initiatives;
• 3 years of leadership experience working with medical providers, nurses, senior leadership and board members;

Certifications:

• Certified in Healthcare Compliance (CHC), preferred;
• Certified Compliance and Ethics Professional (CCEP), preferred;
• Certified Professional in Healthcare Quality (CPHQ), preferred;

Knowledge, Skills & Abilities:

• Deep understanding of industry regulations and quality standards
• Very knowledgeable of healthcare laws and regulations related to HIPAA compliance and privacy rules
• Strong analytical skills to identify and assess risks and compliance issues
• Legal and regulatory knowledge to interpret and apply compliance requirements
• Very knowledgeable of the Joint Commission’s requirements and standards
• Strong project management and organizational skills
• Able to implement continuous improvement concepts and methodologies
• Very knowledgeable of performance improvement, quality and risk management, and regulatory compliance
• Able to conduct investigations and implement corrective actions
• Excellent communication and leadership skills to influence and engage diverse stakeholders
• Able to build a culture of quality
• Excellent attention to detail, adherence to timelines, and ability to manage multiple priorities while maintaining a high standard of accuracy and accountability
• Able to use computerized tracking tools
• Proficient in Microsoft Word, Excel, PowerPoint and Outlook.

Pay Range - $97,433 to $127,128

May require lifting of up to 15 pounds. Requires use of office equipment, such as computer terminals, telephones or copiers. Requires normal vision range. Willing and able to travel between all CHC and SeniorCare sites. Contact with staff and external clients and vendors. Requires hand-eye coordination and manual dexterity. Work is performed in an office environment. Requires sitting for long periods, operation of standard office machines and computer.

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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