COMPLIANCE MANAGER

Position Summary

Responsible for monitoring to Pueblo of Sandia Health Center’s (PSHC) adherence to a System of Internal Controls to assure that operation regulations and that the Compliance Plan are followed. Interpret, apply and enforce compliance as required. Provides the Health Center’s Director and Compliance Committee with reports regarding operational performance. Analyzes internal control non-compliance incidences, recommends remedial action, and provides follow up to assure corrective action are carried out. Meets critical deadlines to assure timely operational requirements are met, such as Office of the Inspector General (OIG) requirements, responses to audit findings, etc. Formulates the addition, revision and deletion of the System of Internal Controls as required. Develops new policies and procedures as operational needs change.

Our philosophy is built on the principles of integrity, fairness, collaboration, communication, and recognition for performance excellence. Meeting all performance standards leads to attracting and retaining a qualified workforce, provides opportunities for qualified team members, and contributes towards the ongoing success of the Pueblo of Sandia today and in the future.  

 Essential Duties and Responsibilities

1. Develop short and long-range goals and objectives to improve compliance operations.
2. Responsible for the development, implementation, and continuous review of all Health Center operations policies, procedures, and internal controls associated with compliance issues.
3. Directs reviews/audits of employee adherence to established policies, procedures and regulatory requirements, which require knowledge of complex Federal, State, Tribal.
4. Keeps Compliance Committee informed of all issues.
5. Responsible for reporting findings in a public setting, including presentation skills.
6. Responsible for preparing reports and analysis to Health Center Director, the Compliance Committee and outside auditors regarding findings and/or deficiencies on compliance issues and related activities.
7. Responsible for interacting with and training managers and Team Members on internal control regulations and policies.
8. Plan and direct both announced and unannounced audits.
9. Assist independent auditors as required by providing documentation, service, and other needs as they arise. Respond to audit findings, recommend remedial action, and ensure the action is taken.
10. Meet critical deadlines to assure timely operational requirements are met, such as Federal filing requirements and responding to audit finding, etc.
11. Provide contractors with compliance requirements they must meet and assure they do so.
12. Must be able to work closely with the DHSS Director on AAAHC.
13. Punctual and regular attendance is an essential responsibility for all team members and are expected to report to work based upon the assigned schedule each day in accordance with the Attendance Policy for Pueblo of Sandia.  

 Additional Responsibilities

1. Demonstrates strong interpersonal skills in building a cohesive working relationship with co-workers and internal/external contact.
2. Performs other job-related duties as assigned.

 Key Performance Indicators

This position has Key Performance Indicators (KPI’s) identified as a measurement of success.  KPI’s will be shared with all team members who work in this job title and feedback will be provided regarding the successful completion of the KPI’s as part of the performance review process.

Knowledge, Skills, and Abilities

1. Analyze and meet timelines, project resources, direct the monitoring and evaluation of results.
2. Ability to work effectively with Health Center Management, external administrators, legal counsel, Tribal Council, vendors, and public at large.
3. Ability to draft complex reports, correspondence, communicate well orally, and conduct meetings and training sessions as required.
4. Experience with, and knowledge of, compliance practices, and tribal, state and federal reporting requirements.

   Education and Experience  

Required:

1. High School Diploma, GED certification or equivalent.
2. Bachelor’s degree in Business Administration or related field and five (5) years of auditing and administration of a financial or accounting operation experience.  Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling nine (9) years may substitute for the required education and experience.
3. Must have worked as RN or clinical setting for at least 5 years.

Preferred:

1. 5 years’ experience in Tribal Government operations.

Note:  Relevant work experience or education may be substituted to satisfy education and/or work experience. 

License/Certifications/Registrations

1. Must possess and maintain a valid, unrestricted New Mexico Driver’s License.
2. Must be able to successfully pass a stringent background investigation and character investigation in compliance with PL 101.630.
3. Will require a pre-employment and random drug screening.

                        Physical Requirements/Working Conditions

The following selected physical activities are required to perform the essential functions of this position

Physical Requirement

                                                         Description

Balancing

Maintaining body equilibrium to prevent falling and walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

Crouching

Bending the body downward and forward by bending leg and spine.

Feeling

Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.

Finger Dexterity

Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.

Grasping

Applying pressure to an object with the fingers and palm.

Hearing

Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound.

Kneeling

Bending legs at knee to come to a rest on knee or knees.

Lifting

Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires substantial use of upper extremities and back muscles. (Up to 10 lbs.)

Pulling

Using upper extremities to exert force to draw, haul, or tug objects in a sustained motion. (Up to 10 lbs.)

Pushing

Using upper extremities to press against something with steady force to thrust forward, downward, or outward. (Up to 10 lbs.)

Reaching

Extending hand(s) and arm(s) in any direction.

Seeing

The ability to perceive the nature of objects by the eye.

Walking

Job requirements include, in the performance of duties, walking throughout the work area, on various work surfaces throughout internal or external locations.

Sitting

Particularly for sustained periods of time.

Standing

Particularly for sustained periods of time.

Stooping

Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full motion of the lower extremities and back muscles.

Talking

Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

List Working Conditions Required:

1. Work is performed indoors.
2. Work hours subject to change with overtime work required.
3. Must be able to work long hours under stressful conditions.
4. Subject to hazards, which may cause personal bodily harm: smoke, common colds, influenza, dust, odors and elevated noise levels.
5. Tasks may be performed on uneven, inclined, hard and soft carpeted floors, cement structures and surfaces.