Southwest Care Center employees can answer yes to these 3 questions: 

1. Do you want to make a difference? 
2. Do you believe everyone is entitled to quality healthcare? 
3. Do you desire to serve the underserved in your community? 

For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque, NM. We are a non-profit, FQHC-LAL providing medical, behavioral health, case management, community outreach, diabetes education, and pharmacy services. We are proud to offer gender equity medicine, syringe exchange, and HIV/Hep C treatment, testing and other services within our communities. 

Southwest Care Center is currently seeking an experienced full-time Compliance & Risk Manager. This position supports clinics in both Santa Fe and Albuquerque, NM requiring the candidate to reside in the local area.  

Position Details: 

Reporting to the Director of Clinical & Quality Outcomes, the Compliance & Risk Manager with dotted line reporting to the CEO for compliance, the Compliance and Risk Manager is responsible for developing, implementing, and overseeing an effective Compliance and Risk Management Program for the organization. This role ensures adherence to federal, state, and local regulatory requirements, maintains organizational policies and procedures consistent with FQHC standards, and promotes a culture of ethical conduct, patient safety, and continuous improvement. The Compliance & Risk Manager works collaboratively with leadership, clinical teams, and operational departments to proactively identify, mitigate, and monitor organizational risks.

Position responsibilities include but not limited to: 

Compliance Program Oversight  

• Maintain and enhance the organization’s Compliance Program in alignment with HRSA, CMS, OIG, HIPAA, and UDS requirements.  

• Ensure policies and procedures are accurate, current, and compliant with all regulatory standards.  

• Conduct regular audits, monitoring activities, and internal reviews to identify areas of non-compliance.  

• Lead and coordinate the annual Compliance Work Plan.  

• Manage compliance investigations, incident reviews, and corrective action plans. 

• Oversee the anonymous reporting hotline and ensure proper follow-up and documentation of concerns.  

Risk Management  

• Lead the development and implementation of the organization’s Risk Management Plan.  

• Conduct enterprise risk assessments, identify emerging risks, and recommend mitigation strategies.  

• Monitor incident reports, patient safety events, and trends to reduce organizational risk.  

• Collaborate with clinical leadership to enhance patient safety and quality improvement initiatives.  

• Serve as the primary liaison for malpractice, liability, or incident-related claims. 

Survey Readiness  

• Ensure organizational readiness for HRSA operational site visits (OSV), accreditation surveys, and external audits.  

• Coordinate collection of documentation, corrective actions, and regulatory reporting.  

• Monitor changes in federal and state regulations and communicate impacts to leadership.  

• Responsible for maintaining the Compliatric portal in a manner that ensure regulatory compliance and data can be effectively and accurately extracted as needed for audit compliance and use by organization.  

HIPAA Privacy & Security  

• Serve as the organization’s HIPAA Privacy Officer.  

• Develop, implement, and monitor HIPAA policies related to privacy, confidentiality, and security.  

• Conduct breach investigations, risk assessments, and required notifications.  

• Oversee workforce privacy and cybersecurity awareness training. Education & Training  

• Facilitate ongoing compliance, risk, HIPAA, and ethics training for all staff.  

• Educate leadership and employees on regulatory updates and best practices.  

• Develop training materials, tools, and resources to support compliance across departments. 

 Reporting & Documentation  

• Prepare compliance and risk reports for the CEO, Senior Leadership Team, and Board Compliance Committee.  

• Maintain complete and accurate compliance and risk management documentation.  

• Track and report key performance indicators related to program effectiveness.  

• Represent the areas of compliance and risk at organizational committees and workgroups. 

Other Duties as Assigned 

Candidate Highlights:  

Required Qualifications:  

• Bachelor’s degree in business, healthcare, or related field.  

• Three (3) years in a role with primary function focused on compliance and risk in a healthcare setting.  

• Two (2) years of supervisory managing a compliance and risk program within a healthcare setting.  

• Knowledge of FQHC programs, Ryan White, HOPWA, and other grant funded programs.  

• Experience working with diverse populations, including LGBTQ+ communities, persons with HIV, and individuals experiencing homelessness.  

• Strong understanding of confidentiality laws (HIPAA/42 CFR Part 2).  

• Valid NM driver’s license and ability to travel to outreach sites and all clinics within the organization.  

Preferred Qualifications:  

• Master’s degree in business, healthcare, or related field  

• Experience in FQHC or community health settings.  

• Familiarity with CAREWare, HMIS, and EHR systems.  

• Bilingual (English/Spanish or English/Navajo)