Director of Compliance

Compliance And Privacy Senior Manager

Position Summary: 40 hr/wk Days, hours can be flexible.

The Compliance and Privacy Senior Manager, under the direction of the Chief Compliance Officer and Privacy Officer, provides professional services in support of compliance program objectives including conducting audits, special reviews and investigations, risk analysis and monitoring, education and training and breach response and prevention. The Compliance and Privacy Senior Manager may also supervise other compliance personnel (auditors, specialists, etc.), as determined by the Chief Compliance and Privacy Officer. The Compliance and Privacy Senior Manager will assist with managing, developing, implementing, and monitoring a comprehensive Compliance and Privacy Program in accordance with local policies and federal and state requirements and guidance.

Key Responsibilities

• Manages the implementation of Elliot Health System entities' compliance activities, programs, policies, and procedures, to ensure system integrity and compliance with applicable federal and state laws and regulations as assigned by the entity Compliance & Privacy Officer.
• Works diligently to foster a culture and climate of sensitivity to compliant and ethical behavior within the organization.
• Manages annual audit work plans as assigned in collaboration with the Senior Compliance Auditor and under the direction of the Chief Compliance & Privacy Officer.
• Works in collaboration with the Compliance & Privacy Officer in the preparation of required reporting to committees including Senior Leadership and Board of Trustees members.
• May supervise other compliance personnel (auditors, specialists, etc.), as determined by the Chief Compliance and Privacy Officer.
• Reviews the Compliance & Privacy Program policies and procedures and recommends appropriate revisions and modifications.
• Assists with upholding and enforcing the Code of Conduct.
• Assists with maintaining a confidential/anonymous reporting system to allow reporting of suspected non-compliance or incidents of fraud and abuse and adopting procedures to protect anonymity and protect complainants from retaliation.
• Assists with timely review of complaints, concerns, or questions relative to compliance issues, and provides consultative support to Elliot Health System staff and management as appropriate.
• Assists in the coordination of personnel issues with the human resources office when identified during compliance activities.
• Maintains a record of all reports of suspected compliance issues, or fraud and abuse.
• Helps develop mechanisms for communicating changes in applicable laws and regulations or changes in the Code of Conduct to affected individuals.
• Works with appropriate vice presidents, directors, and managers to develop mechanisms for preventing, detecting, and remediating compliance issues.
• Develops and implements compliance and privacy training, education, and other preventative mechanisms for reducing the risk of non-compliance or fraud and abuse, to Elliot Health System employees, Board members, medical staff, and other workforce members.
• Develops and implements monitoring, auditing, and other detection mechanisms for identifying occurrences of noncompliance or fraud and abuse as assigned by the entity Compliance & Privacy Officer, e.g., Conflicts of Interest. Assists Elliot Health System entities and departments in coordinating internal compliance reviews and monitoring activities. Reviews reports of all internal audits and investigates any identified areas of non-compliance revealed in those audits. Works with Elliot Health System#E#s legal counsel to retain and oversee periodic external auditing, when appropriate. Works with Finance Department (and counsel when appropriate) to assure repayment of billing errors according to local entity policy.
• Oversees Health Information Portability and Accountability Act (HIPAA) and other privacy concerns, issues or reported violations, and any required inquiries and documentation.
• Develops, maintains, and delivers privacy-related policies and training. Coordinates with system-wide resources to ensure effective privacy programs and practices.
• Provides subject matter expertise regarding privacy issues and leads privacy investigations.
• Identifies compliance and privacy related risk areas and conducting audits of such risk areas, making recommendations based upon audit findings.

Education/Experience/Licensure:

• Education: bachelor’s degree with healthcare compliance experience is required. Master’s degree in healthcare-related field (e.g., MBA, MHA) or Juris Doctor (J.D.) preferred.
• Experience: Must possess more than five (5) years of work-related experience in health care law and regulatory matters.
• Certification/Licensure: Healthcare Compliance Certification (CHC) or other compliance certification strongly preferred.

What Elliot Health System Has to Offer

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short-term disability, long-term disability, and life insurance coverage
• Competitive pay
• Tuition Reimbursement
• 403(b) Retirement Savings Plan

And more!