Compliance/Privacy Officer
Job Description:
- Supports and maintains an effective compliance and privacy program within an assigned market
- Ensures compliance with federal and state laws, regulations, and organizational policies, including HIPAA and applicable Office of Inspector General (OIG) Compliance Program Guidance
- Promotes ethical conduct and a culture of compliance and serves as a trusted compliance resource for leadership and staff
- Work collaboratively with market leadership to implement and maintain the enterprise compliance and privacy program within an assigned market
- Serve as the primary compliance and privacy resource for the assigned market
- Monitor completion of onboarding and annual compliance and privacy education and training to staff and leadership
- Provide compliance training for staff and leadership as necessary
- Assist with the development, implementation, and monitoring of the markets adherence to enterprise policies, procedures and standards
- Receive and investigate compliance, integrity and privacy concerns, including hotline reports, in a timely manner
- Maintain accurate documentation related to compliance activities and investigations
- Prepare timely, comprehensive written investigation reports documenting facts, analysis, root cause, and applicable laws, regulations, and organizational policies
- Track and document implementation of corrective action plans related to compliance and privacy issues and monitor for effectiveness
- Maintain independence and objectivity in all compliance and integrity activities and promptly disclose and recuse from matters presenting an actual or perceived conflict of interest
- Lead compliance risk assessments and annual compliance work planning activities
- Establish audit controls and measurements for market processes, ensuring that correct controls are in place to reduce compliance risks
- Assist with auditing and monitoring activities of identified compliance risks and potential areas of improvement
- Promote a non-retaliation environment and ensure confidentiality related to compliance reporting
- Collaborate with operational leadership, Human Resources, Legal, and other departments as appropriate to ensure consistency of compliance culture across the market
- Maintain current knowledge of applicable healthcare laws, regulations, compliance guidance, and enterprise policies and procedures
- Establish a collaborative relationship with market Integrity Specialist
- Manage and chair the market compliance committee
- Provide timely and accurate reports and assist leadership in making meaningful connections with the information presented
- Develop and obtain market board approval for the market’s annual compliance plan
- Ensures plan is modified and maintained as appropriate
- Report to the market Board of Directors with timely and relevant information on all aspects of compliance issues within the market
- Provides interim CPO coverage for other markets, as needed
Requirements:
- Bachelor’s degree
- Three (3) years of experience in healthcare compliance, regulatory compliance, or a related field; OR Juris Doctor (JD) degree
- Experience in behavioral health or social services preferred
- Certification/Licensure Professional compliance or privacy certification (e.g., CHC, CHPC) preferred
- Strong verbal and written communication skills
- Ability to work independently and collaboratively across departments
- Effective analytical, organizational, and problem-solving skills
- Proficiency in Microsoft Office applications
- Ability to manage multiple priorities and meet deadlines
- Proficient in use of Microsoft office products and Outlook calendar management
- Ability to manage confidential and sensitive information with professionalism and discretion.
Benefits:
- Medical, dental, and vision health coverage
- Flexible Spending and Health Savings Accounts
- 403b retirement plan with company match
- Paid time off and ten paid holidays
- AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
- Employee Resource Groups
- Continuing education opportunities
- Employee Assistance Program
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