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