Compliance Specialist 2 SR25-Oregon State Hospital (2 positions)

Initial Posting Date:

11/19/2024

Application Deadline:

12/01/2024

Agency:

Oregon Health Authority

Salary Range:

$4,755 - $6,952

Position Type:

Employee

Position Title:

Compliance Specialist 2 SR25-Oregon State Hospital (2 positions)

Job Description:

The Oregon State Hospital (OSH), a division of the Oregon Health Authority has an exciting opportunity for 2 Compliance Specialist 2 positions in our Standards and Compliance Department.

Standards and Compliance is part of OSH's Quality Management Department. The Quality Management Department consists of Performance Improvement, Data Analysis, and Incident Response System Investigations. Standards and Compliance provides regulatory compliance and accreditation oversight to OSH facilities, administers licensing and certification with the State of Oregon, supports staff at OSH in understanding regulatory compliance and serves as the point of contact for accreditation and regulatory oversight.

These positions are assigned a variety of areas to support compliance efforts. Within the assigned area, the Compliance Specialist's purpose is to assure OSH is compliant with standards from internal and external entities that include the Joint Commission; Code of Federal Regulations (CFR), including Center for Medicare and Medicaid Services (CMS); Oregon Health Authority (OHA); Department of Administrative Services (DAS) and others; as well as compliance with Oregon Revised Statues (ORSs) and Oregon Administrative Rules (OARs).

What will you do!

As a Compliance Specialist 2 you will coordinate and perform auditing functions to ensure compliance with federal, state, local laws, regulations, policies, and accreditation standards. Compliance Specialists work includes developing audit tools, performing audits, supporting corrective action plans, and the review and resolution of compliance issues including interpreting standards, policies, developing data collection tools. Compliance Specialists will develop training programs to educate staff in the areas of regulations, mandates, and methods in gaining compliance.

Compliance & Consultative Functions

• Maintain knowledge of applicable regulatory standards, including but not limited to standards of the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), Oregon Revised Statutes (ORS), Oregon Administrative Rules (OAR), and internal standards, policies, and requirements in relation to their assigned area of the hospital.
• Conduct data quality and procedural audits.
• Provide technical consultation with management and staff regarding interpretation and/or application of laws, regulations, rules, and/or policies.
• Perform focused, system, and program tracers, document, and compliance reviews of specific standards and/or regulations to determine compliance with accreditation standards, federal, state, and local rules and regulations.
• Investigate systems that are identified at risk of noncompliance and includes evaluation, coordination, tracking, and interpreting laws, rules or policies determined deficient.
• Represent the Standards and Compliance Department on assigned committees, work groups, disciplines, programs, units, and departments throughout OSH.
• Maintain knowledge of all applicable sanctions and what level of violation equates to what level of sanction.
• Develop and maintains hospital system wide survey readiness materials in collaboration with division management and communications department.
• Conduct mock survey activities as required by leadership. This includes working with designated contractors as needed and conducting independent internal mock surveys.

Data Management and Reporting

• Maintain spreadsheets, databases, conducts compliance related data collection, and other data storage files.
• Prepare desk manuals with standard work for department and position.
• Prepare technical summary guidelines for interpretation of laws, regulations, and policies to post on department website.
• Ensure necessary compliance and regulatory documentation is updated in electronic and paper formats including rolling cart, etc.
• Review, maintain, and report program performance goals/metrics to track improvements leading to compliance with identified standards, and prepares metric sheets for use in various formats including but not limited to spreadsheets, dashboards, etc.

What's in it for you?

• Medical, vision, and dental benefits
• 11 paid holidays
• 11 hours of vacation per month, eligible to be used after six (6) months of service.
• Eight (8) hours of sick leave per month, eligible to be used as accrued.
• 24 hours of personal business leave per fiscal year (July 1 to June 30), eligible to be used after six (6) months of service.
• Pension and retirement programs 
• Opportunity to potentially receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF)
• Professional growth and development opportunities
• Opportunities to serve the people of Oregon and make an impact through meaningful and impactful work.
• A healthy work/life balance, including part-time remote options as well.

What we’re looking for!

Minimum Qualifications

Four years’ experience doing administrative research that included compiling and evaluating facts to recommend management action or decide compliance with program guidelines and regulations. Two of the four years must be above the technical support level in the hospital, healthcare, or state/federal government environment. 

Note: college-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years. 

Knowledge, Skills, and Abilities

Skill in writing and analyzing general, statistical, and technical reports per The Joint Commission (TJC) standards. Knowledge of Hospital Quality Improvement programs.

This position works collaboratively in a team setting. To be successful, this position will need to foster professional working relationships within the hospital and within the Standards and Compliance team. Persons in this position must be a good basic knowledge of regulatory compliance. This includes:

• Center for Medicare and Medicaid Services (CMS) guidelines.
• The Joint Commission standards pertaining to Hospital and/or Behavioral Health
• Applicable federal and state regulatory laws
• Computer software programs including Microsoft Office, PowerPoint, Adobe

Desired Attributes

• Consistently treats customers, patients, consumers, stakeholders, community partners, vendors, and colleagues with dignity and respect.
• Demonstrates recognition of the value of individual and cultural difference; creates a work environment that is respectful and accepting of diversity where talents, abilities and experiences are valued.
• Proactively creates and maintains an inclusive work environment for all staff, including those from diverse backgrounds.

How to Apply:

• Attach a resume.
• Attach a cover letter of no more than two pages addressing the “What we are looking for?” section including required and preferred skills.

*Please attach a resume and a cover letter that addresses the points listed under the section titled ‘What We Are Looking For’. Candidates who do not upload a resume and cover letter, will not be considered for this position.

Tips for Submitting Your Application!

You should indicate your interest in this position through your candidate profile, resume and cover letter. Additionally, please include detailed information in your resume/cv and resume that highlight your knowledge, skills, abilities and lived, learned and professional experience related to this position. Complete submissions will be reviewed for consistency of information and communication skills at an executive level (attention to detail, spelling, grammar, etc.).

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• Click here for Resources and a Job Support Page. 

Please ensure you have provided a thorough and updated application and application materials as it pertains to the position for which you are applying.

Questions/Need Help?

If you need assistance to participate in the application process including a reasonable accommodation request under the American with Disabilities Act, please call or email Melissa Perez Voice or Text: 503-209-7058 Email: melissa.m.perez@oha.oregon.gov OHA accepts all relay calls.

Additional Information

• Please monitor your Workday account for communication regarding your application. You must have a valid e-mail address to apply.
• PERS rate: The salary listed is the non-PERS qualifying salary range. If the successful candidate is PERS qualifying, the salary range will reflect an additional 6.95%. Please review the Classification and Compensation page for more details Click here
• Veterans: If you are a veteran, you may receive veterans’ preference. Click here for more information about veterans’ preference. To receive veterans' preference points, please submit the following required documentation when you apply:
• A copy of your DD214/DD215 form; OR a letter from the US Dept. of Veterans Affairs indicating you receive a non-service-connected pension for the five (5) point preference.
• A copy of your DD214/DD215 form; AND a copy of your veterans' disability preference letter from the Dept. of Veterans Affairs for the ten (10) point preference.
• Visa Sponsorship: We do not offer VISA sponsorships or transfers currently. You will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States within three days of hire.
• Internal Applicants: Attention current State of Oregon employees: To apply for posted positions, please close this window, and log into your Workday account and apply through the Career worklet.
• Please attach only the documents that are related to the position. Additional documents that are attached will not be reviewed.
• Applicant Help and Support webpage.

Affirmative Action and Equal Opportunity

The Oregon Health Authority is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, genetic information, or any other protected class under state or federal law. In addition, we do not discriminate, or screen applicants based on current or past compensation. To learn more about OHA’s mission, vision, and core values, click here.

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.