Statement of PurposeThis position is responsible for managing and continually improving METRO’s quality management, risk management and compliance program and strategy, monitoring compliance/risk activity and investigating allegations of compliance and/or policy infraction; training on, monitoring and enforcing METRO’s policies and Code of Conduct. This position works collaboratively with the Compliance Officer.

 Primary Tasks/Responsibilities:

  • Manages the risk management activities of all programs and service areas.
  • Conduct internal investigations, communicate with regulatory agencies and handles any other risk management or compliance issues.
  • Identifies high risk areas, prioritizes and sets forth activities to mitigate the risks.
  • Receives and investigates complaints, near misses, and incidents to resolution.
  • Conduct HIPAA Security Risk Assessments, internal and external, as required.
  • Oversees ongoing competency with METRO’s Emergency Preparedness Plan and schedules regular desktop drills to assess current competence among staff.
  • Plan communication and training programs to help employees understand their roles in risk management.
  • Interact with and report to senior management on the status of the compliance activities highlighting any areas of potential risk to the agency.
  • Assists Medical Director in oversight of the peer review process.
  • Protects organization’s value by keeping information confidential in accordance with HIPAA, professional and departmental standards.
  • Maintains current knowledge of Federal, State and Accrediting regulations and standards pertaining to ongoing compliance.
  • Collaborates with the Compliance Officer and Senior Leadership in response to subpoenas.
  • Manages METRO’s Medical Records department and monitor Medical Record activities for areas of non-compliance
  • Maintains and monitors the compliance and records for OSHA, CLIA and HIV testing permissions required by the State and local laws and regulations.
  • Works closely with METRO staff to identify risk prone program and service activities, including but not limited to, patient confidentiality, health record security, health systems security and privacy, etc.


  • Work with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job.
  • Promotes and practices METRO’s mission and values, and follows its policies and procedures.
  • Works on special projects as needed.



  • Minimum Bachelor’s degree in a related area
  • At least 2 years of experience in the areas of quality management, risk management and compliance

 Knowledge, Skills and Competencies Required:

  • Microsoft suite and data systems proficiency, including Electronic Medical Records.
  • Ability to effectively utilize problem-solving and decision-making techniques.
  • Ability to make effective judgments and decisions based on objective criteria.
  • Attentive to detail and strong organizational skills.
  • High comfort working in a busy environment with changing priorities.
  • Ability to multi-task, establish priorities and work independently.
  • Demonstrated capability to use data analytics to support suggestions.
  • Ability to communicate complex information in a simplified, understandable, relatable manner to front line and other staff.
  • Ethical judgment
  • Strategic thinking
  • Complex problem solving
  • Communication Skills


  • Must possess and maintain valid Florida driver’s license and proof of insurance
  • Must have reliable and accessible auto vehicle.
  • Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U. S. Department of Homeland Security’s E-Verify system,

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