Deputy Compliance and Privacy Officer

Deputy Compliance and Privacy Officer

The Deputy Compliance and Privacy Officer will serve as a healthcare regulatory compliance subject matter expert, as well as Privacy Officer as required by applicable privacy laws. This position is primarily responsible for the effective design, operation, and maintenance of all compliance program policies, procedures, and controls. This role will ensure compliance with all federal and state laws, including HIPAA and HITECH requirements, licensing requirements, and internal compliance policies/procedures. This position will implement appropriate initiatives, policies and processes, risk assessments, compliance related reports, education/training, and audit/monitoring. The Deputy Compliance and Privacy Officer will investigate reports of non-compliance and monitor corrective action plans.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Deputy Compliance and Privacy Officer – Essential Functions and Responsibilities:

• Provide oversight and direction in the development of all aspects of the compliance program;
• Create summaries regarding, and participate in oversight of, Avalon's contractual obligations;
• Performing (or overseeing) the drafting of new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials;
• Coordinating with relevant business partners to develop and revise business policies and ensure business policies are being appropriately enforced and monitored;
• Overseeing FDR compliance, including maintenance and completion of the Delegated Downstream Entity Compliance Attestation;
• Overseeing monthly exclusion checks, Preclusion Checks, and the preparation of associated client reporting;
• Overseeing the administration of all new hire training and annual training and various compliance related events (a compliance week) and overseeing the maintenance of records of the same
• Coordinating compliance committee meetings, drafting compliance committee decks, meeting minutes, and preparing executive summaries for the board;
• Managing Avalon's conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the same;
• Overseeing maintenance of sanctions log;
• Overseeing/participating in Avalon's responses to compliance and privacy audits;
• Develop audit tools, plans, and schedules, and conduct compliance readiness audits as it relates to all new business functions.
• Develop and implement risk assessment tools to identify potential deficiencies and facilitate development, monitoring, and implementation of corrective action plans.
• Serve as the compliance subject matter expert on all business functions to internal and external stakeholders;
• Serve as Privacy Officer;
• Serve as the compliance liaison with government regulators to receive any state or federal correspondence or alerts on new initiatives;
• Work across teams and departments, balancing competing objectives to accomplish goals and requirements;
• Gather and respond to all regulatory or compliance audit requests for information; and
• Use professional judgment and institutional knowledge to assess risk levels, conduct approved investigations, provide guidance on remediation planning, and prioritize remediation efforts.

Deputy Compliance and Privacy Officer – Minimum Qualifications:

• 3+ years attorney work experience
• Bachelor's degree and Juris Doctor.
• Expert knowledge of the Health Insurance Portability and Accountability Act (HIPAA Privacy Rules)
• 3+ years' health care compliance and regulatory experience.
• Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans.
• Experience developing and deploying governance, risk, and compliance (GRC) systems, incident response practices; and risk assessment practices.
• Experience interpreting, summarizing, and advising business personnel regarding health care related statutes, regulations, and contractual obligations.
• Must be strong critical thinker and outstanding writer, able to explain complex issues orally and in writing.
• Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management and ability to excel in a team environment.

Deputy Compliance and Privacy Officer – Preferred Qualifications:

• 5+ years general experience in either health care or financial organizations.