Compliance and Privacy Specialist

Fair Haven Community Health Care 

For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.

Job purpose

The Compliance and Privacy Specialist provides technical and administrative support to the Chief Compliance Officer in maintaining a culture of integrity and accountability. This role ensures the organization remains in constant alignment with Federal, State, and Accreditation standards through diligent auditing, performance reporting, and the promotion of "continuous readiness" across all clinical and administrative departments.

Duties and responsibilities

• Program Development: Support the Chief Corporate Compliance Officer (CCO) in the development, implementation, and ongoing evaluation of the organization’s Corporate Compliance Plan.
• Performance Reporting: Prepare quarterly performance reports and maintain the monthly Compliance Dashboard to track progress against the annual Work Plan.
• Auditing & Monitoring: Conduct inter-departmental audits, system reviews, and risk assessments as prioritized in the Work Plan or in response to emerging organizational issues.
• Privacy Assistance: Assist the Privacy Officer with investigations into potential HIPAA violations and other privacy-related incidents.
• Regulatory Analysis: Monitor federal and state regulatory changes that impact FHCHC and recommend necessary policy updates to ensure continued alignment.
• Licensing Liaison: Act as the Compliance Department’s on-site point of contact for licensing visits and inspections by various regulatory authorities.
• Continuous Readiness: Provide technical assistance across departments to maintain "continuous readiness" for The Joint Commission (TJC) accreditation standards.
• Corrective Action: Draft and recommend formal Corrective Action Plans (CAPs) under the direction of the CCO to address identified gaps or audit findings.
• Committee Support: Coordinate the Corporate Compliance Committee, including agenda preparation and minute-taking.
• Administrative Support: Execute additional duties as assigned by the Corporate Compliance Officer to support the department’s mission.

Qualifications

• Bachelor’s degree required. A minimum of one year of experience in healthcare compliance or privacy is required. Proficiency with Microsoft office (Word, Outlook, & Excel) and Epic EHR also required.
• Certification in Healthcare Compliance (CHC) or Healthcare Privacy (CHPC) and one year of experience with Privacy / HIPAA investigations is preferred.
• Considerable knowledge of federal and state healthcare regulatory requirements, billing, coding, and reimbursement systems.
• Familiarity with Bureau of Primary Health Care Compliance requirements and TJC ambulatory health care along with patient centered medical home standards is highly desirable.
• Ability to interpret complex statues and regulations, conduct independent research, synthesize findings, and apply results to healthcare operations.
• Ability to analyze data to identify deficiencies and develop corrective action plan; strong analytical, critical thinking, problem solving and computer skills; a high level of integrity and have strong verbal and written communication and interpersonal skills.

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.