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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