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MIRROR Compliance Officer **Newton, KS** in Newton, Kansas

Under the administrative supervision of the President/CEO, the Compliance Officer ensures that Mirror adheres to legal standards and in-house policies. He/she is responsible for enforcing regulations in all aspects and levels of business as well as providing guidance on compliance matters. He/she serves as a consultant to other Mirror managers, develops and oversees legal guidelines and internal policies; ensures adherence to state and federal regulations; and revises procedures, reports, licenses, and other documents as required. He/she also coordinates legal support with Mirror’s legal counsel and other outside legal services. Ultimately the Compliance Officer helps preserve Mirror’s integrity by making sure it stays on a lawful and ethical course.

DUTIES and RESPONSIBILITIES:

  • Provide management and oversight of policy formation and adherence.

  • Maintain Mirror’s general, operating and personnel policy manuals and make changes when necessary due to management requests or legislative changes.

  • Oversee policy development and maintain Mirror’s policy files.

  • Serve as the Records' Custodian. Provide oversight of records retention and destruction.

  • Ensure appropriate measurement and documentation of quality of service and care to addiction treatment clients.

  • Provide oversight and timely filing of the Substance Abuse and Mental Health Services Administration [SAMSHA] on-line annual National Survey of Substance Abuse Treatment Services [N-SSATS] reports.

  • Oversee HIPAA compliance activities.

  • Serve as the agency’s HIPAA Privacy Officer.

  • Work with HIPAA Security Officer to revise and update HIPAA policies and procedures on an as needed basis.

  • Manage compliance activities for Mirror’s Substance Use Disorder Treatment work; ensure appropriate documentation and licensing are in place.

  • Monitor contractual compliance to quality of programming.

  • With senior leadership and regional directors, monitor and measure quality of performance against desired outcomes in all of Mirror programs.

  • Ensure timely filing of all new license and license renewal applications to KDADS.

  • Ensure timely filing of all supplemental applications for changing logistical information to existing programs to KDADS.

  • Review, approve and submit all corrective action plans [CAPs] to KDADS. Tracks return of CAP Implementation letters from KDADS.

  • Oversee all credentialing and re-credentialing of Mirror treatment programs with the Kansas Medical Assistance Programs [KMAP], Beacon Health Options, Senate Bill 123 and the KanCare Managed Care organizations [Aetna Better Health, Cenpatico and Optum].

  • Assist the Credentialing Specialist or other Vice Presidents with credentialing or contract development with various insurance companies and the Mirror treatment programs.

  • Review and approve agency qualified service organization agreements [QSOA], business associate agreements [BAA] or memorandum of understanding [MOU] between Mirror and other organizations or entities.

  • Assist site managers or assigned VPs on KDADS site visits. Provide requested documents on an as needed basis.

  • Assist site managers on HR audits prior to KDADS site visits.

  • Ensure timely filing of local license renewals not handled by local managers such as Correctional Placement Residence [CPR], alarm permits, wastewater/grease interceptor permits, etc.

  • Oversee risk management activities and assessment for Mirror. Ensure Mirror plans appropriately for managing risk.

  • Coordinate agency's Risk Management Committee that reviews existing insurance policies with Mirror’s insurance broker.

  • Oversee insurance coverage related to the Mirror Corporation and act as the agency’s liaison in matters related to worker’s compensation.

  • Oversee and coordinate Mirror’s legal matters on behalf of the President/CEO.

  • Oversee all client and staff complaints lodged against the agency. This might include the investigation of or the delegation of this to appropriate staff. Review and sign off on the final report of all complaint-related matters.

  • Attend court-related matters as Mirror’s Records Custodian if the subpoenaed staff person is no longer employed by Mirror.

  • Work closely with Mirror legal counsel on legal issues affecting Mirror as they may arise.

  • Serve as the point of contact for Mirror’s legal counsel on issues related to EEOC, KHRC or lawsuits filed against Mirror. Work closely with Mirror department heads from accounting, IT, HR, RRC and Treatment to provide any necessary information to the agency’s legal counsel in order to assist in Mirror defense legal matters.

  • Collaborate and coordinate with the HR Director and other supervisors on matters regarding personnel.

  • Make final determination on all employee requests for reasonable accommodation.

  • Oversee and ensure timely filing of the EEO 1, Component 1 [job category, race, ethnicity and sex data] and Component 2 [employees’ hours worked and pay information broken down into the same categories listed in the Component 1 report above] reports.

  • Oversee and ensure timely filing of the annual Department of Labor [DOL], Veterans Employment and Training Services [VETS-4212] report.

  • Ensure timely filing of DOL, Bureau of Labor Statistics surveys or Occupational Safety and Health Administration [OSHA] injury report forms on an as needed basis.

  • Serve as a consultant at meetings of the Board and on other Board committees as requested by the President/CEO.

  • In collaboration with the President/CEO and senior management team, ensure the implementation of Mirror values and philosophy.

  • Interact effectively with the members of the management team.

  • Participate in program-related and annual agency-wide staff meetings. Provide training on an as needed basis at these meetings.

  • Assist as requested in grant, proposal or program expansion projects.

  • Perform other varied duties as required by the President/CEO.

QUALIFICATIONS

QUALIFICATIONS:

  •  A minimum of a Bachelor's Degree in law, finance, business administration or a related field. Master's Degree or JD desirable but not required.

  •  A minimum of five years successful experience in Human Services, Health Care or a related area.

  •  Must have knowledge of Kansas health care regulatory agencies (KDADS, KDHE), Managed Care and other related agencies’ regulations pertaining to licensing, contracts and compliance.

  • Excellent interpersonal skills required as well as ability to communicate effectively both verbally and in writing.

  • Must have the ability to analyze/interpret/calculate/forecast data, evaluate plans, comprehend, explain complex information and work with multiple tasks.

  • Must be adaptable to change and have effective organizational skills. Must be able to work in concert and in collaboration with the President/CEO and other senior managers.

  •  Must be self-motivated and able to manage and coordinate details.

  • Must be able to pass agency required background or security check.

  • Employees who have been diagnosed with any type of substance use disorder or behavioral health addiction/compulsion must have sustained a minimum of two consecutive years of abstinence from all intoxicating substances and symptoms of their chemical and/or behavioral addiction; and must be in full sustained remission.

  • Physical requirements may include but are not limited to standing, walking, talking, hearing and lifting (40/50 pounds). Walking stairs may be required as well.

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