Manager Regulatory Compliance - Mt Sinai Health System- FT- Hybrid- Days

Description Responsible for implementation and monitoring of a comprehensive Compliance Program for the Mount Sinai Medical Center. Works directly with the Vice President of Compliance and the Chief Compliance Officer in managing the work plans, educational activities and/or audit programs designed by members of Compliance leadership. Develops relationships and fosters partnerships with colleagues, management, faculty and staff. Participates in meetings and projects geared toward mitigating regulatory compliance risk factors. Responsibilities 1. Evaluates and identifies areas of risk and appraises their significance in relation to the assigned environment, keeping Compliance leadership informed of these developments on a timely basis. Reports findings and makes recommendations to correct unsatisfactory conditions and improve the overall risk profile. 2. Investigate or oversee investigations into privacy incidents, data integrity issues, breaches, and unauthorized disclosures of PHI. 3. Monitor regulatory updates and recommend policy or operational changes. 4 Support responses to government audits, investigations and accreditation reviews. 5. Assist with data governance and records management initiatives. 6. Monitor organizational compliance with HIPPA privacy regulations and healthcare privacy regulations. 7. Assists Vice President of Compliance / Chief Compliance Officer with the priority rankings of initiatives identified within the Compliance work plan. Manages the implementation of work plan initiatives and audit programs, and facilitates the identification and dissemination of Best Practices. 8. Recommends/reviews project work and scope, when and how to expand/reduce audit testing. Prepares conclusive findings and related reports to leadership. 9. Assists appropriate Compliance Directors with the development and implementation of a formalized oversight program for tracking Mandatory Reporting Regulatory Communications, including the direction, scope, theory, and procedures to be incorporated into compliance monitoring efforts. 10. Plans audit and monitoring engagements; prepares appropriate and comprehensive work programs, conducts research, testing and analysis with minimal direction and supervision. 11. Performs analysis of educational and monitoring activities and works with members of Compliance leadership in presenting results in a structured format to leadership. 12. Ensures quality and scope of all projects meets standards as established by the Vice President of Compliance/Chief Compliance Officer, the Audit and Compliance Committee of the Board of Trustees, other organizational leadership, the Medical Centers external auditors and external regulatory bodies. Works on multiple projects simultaneously, ensuring completion of assignments within established time frames. 13. Assumes responsibility for assigned special projects. 14.. Maintains detailed work files and organized supporting documentation to uphold activities and related findings. 10. Manages operational activities surrounding key institutional committees involving members of senior leadership, faculty and Compliance leadership including, but not limited to, Enterprise Risk Management Committee, Compliance Oversight Committee and Staff Conflicts of Interest Committee. 15. Responsible for management of all applicable reporting databases. 16. Assists Compliance leadership with preparation and maintenance of the Compliance Department presentation to the Audit and Compliance Committee of the Board of Trustees. 17. Identifies and monitors industry developments to assess their applicability to the organization. 18. Incorporates the use of automated review techniques, as applicable. 19. Uses a collaborative and consultative service-oriented approach in assigned tasks and in all dealings with Medical Center personnel. 20. Makes oral and written presentations, as required. 21. Other duties as assigned by leadership. Qualifications Bachelor's degree required. Recent law school graduates will be considered. Master's Degree preferred (JD, MPH, MPA) . Experience with healthcare regulatory reviews, policies and HIPPA privacy laws is essential for this role. 5 years relevant business experience, preferably within a healthcare institution or other health related service industry, or major accounting firm, or equivalent experience. Non-Bargaining Unit, B1V - Corporate Compliance - BI, Mount Sinai Beth Israel Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $79720 - $119580 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai Medical Center