Compliance/Privacy Officer

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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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