Risk Manager/Compliance Officer

Job Summary
The Risk Manager/Compliance Officer leads the development, implementation, and oversight of the organization's risk management and compliance programs and provides supervision of the Facilities staff.

Responsibilities & Duties
Risk Management & Incident Oversight

• Develop, implement, and evaluate the organization's Risk Management Plan, including goals, objectives, and continuous improvement strategies.
• Identify, investigate, and respond to risk-related incidents, complaints, and potential liability exposures; lead or participate in incident investigations and resolution.
• Ensure timely review, documentation, and closure of all incident reports in the Compliatric system; analyze trends and identify opportunities for improvement.
• Support and guide staff in completing root cause analyses, with focused attention on incidents involving harm or potential liability.

Compliance, Policy & Regulatory Alignment

• Support policy development, enforcement, and alignment with regulatory, accreditation, and legal standards, including applicable state and federal laws.
• Partner with Quality Management & Improvement leadership to ensure compliance with AAAHC, Indian Health Service, and HRSA requirements.

Risk Assessment, Safety & Infection Control

• Conduct annual and ongoing risk assessments in collaboration with staff and committees (including Infection Prevention and Control and Safety Committee), recommending corrective actions to mitigate risk exposure.
• Monitor surveillance audits (e.g., environmental cleaning, safe injection practices, sterilization) and ensure appropriate follow-up on identified concerns.

Training, Education & Communication

• Develop and deliver risk management education and training programs.
• Serve as a resource to leadership and staff on risk-related issues, best practices, and safety initiatives.

Committees & Cross-Functional Collaboration

• Actively participate in organizational committees and workgroups, including Quality Management & Improvement, Credentialing, Peer Review, Compliance and Policy, Risk Management, Workforce Staffing/Optimization, and Infection Prevention & Control and Safety.

Facilities & Operations Management

• Conduct departmental evaluations, oversee and monitor daily operations of Facilities functions (Housekeeping, Maintenance, Security, Transportation) to ensure alignment with organizational goals and service standards.

• Provide short- and long-range strategic planning, fiscal oversight, and ensure effective communication across the department and organization.
• Plan, assign, and prioritize work; develop schedules and ensure timely completion of tasks.
• Evaluate employee performance; provide coaching, counseling, and address administrative or workplace issues.
• Address employee concerns and complaints; administer minor disciplinary actions as needed.
• Identify training needs and support staff development; approve leave, timecards, and related administrative functions.
• Perform other related duties as assigned.

Education and Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Risk Management, or a related field is required; Master's degree is preferred.
• Minimum of three (3) years of direct healthcare risk management experience required, or a minimum of ten (10) years of progressive healthcare administration or clinical experience in lieu of risk management experience.
• Minimum of 2 years of supervisory experience is required.
• Clinical experience in a primary care setting is preferred.
• Demonstrated knowledge of AAAHC accreditation standards and applicable federal, state, and local regulatory requirements related to risk management is preferred.
• Certified Professional in Healthcare Risk Management (CPHRM) certification is preferred; may be required within a specified timeframe upon hire.
• Must obtain and maintain membership in relevant professional organizations as required to support ongoing compliance, accreditation, and professional standards.

Knowledge, Skills & Abilities
Management & Compliance

• Knowledge of organizational administration, fiscal/personnel management, and applicable local, State of Wisconsin, and federal regulations
• Skilled in qualitative/quantitative, financial, and operational analysis across healthcare systems, business processes, and project management
• Proficiently in Microsoft Office (Word, Excel) and information systems required.

Leadership & Problem Solving

• Proven leadership, team-building, influencing skills and demonstrates cultural competence
• Strong critical thinking, creativity, and complex problem resolution
• Effective communicator with strong interpersonal and customer service skills
• Able to build relationships, work across diverse teams, and drive consensus
• Highly organized, detail-oriented, and reliable; able to prioritize, multi-task, and adapt in dynamic environments

Other Significant Factors The physical demands described herein are representative of those that an employee must meet to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. While performing the duties of this role, the employee is regularly required to remain in a seated position; use hands to handle, operate, or manipulate objects, tools, or controls; reach with hands and arms; and communicate effectively, including talking and hearing. The employee must frequently lift and/or move objects weighing up to 10 pounds and occasionally lift and/or move objects weighing up to 25 pounds. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. The work environment noise level is typically low to moderate.
Work is primarily performed in an office setting and involves the use of standard office equipment, including but not limited to computers, copiers, fax machines, and multi-line telephone systems. This role requires the ability to communicate effectively via telephone, electronic communication, and in-person interactions, and to perform duties in a fast-paced work environment.
This description is intended to provide a general overview of the essential functions of the position and is not to be construed as an exhaustive list of all duties, responsibilities, or requirements. Employees may be assigned additional job-related duties as needed or as directed by supervisory personnel. Job requirements are subject to change in accordance with organizational needs.
All employees of the Gerald L. Ignace Indian Health Center are expected to support and participate in activities that promote organizational readiness for inspections and surveys, engage in Quality Improvement initiatives, and contribute to education efforts related to health promotion and disease prevention.
The Gerald L. Ignace Indian Health Center is committed to maintaining a safe, healthy, and drug-free workplace. Employment is contingent upon successful completion of applicable background checks, including criminal and caregiver background screenings, as well as pre-employment drug testing. The organization maintains a smoke-free work environment.