Senior Manager of Compliance and Privacy JD

Job responsibilities – Senior Compliance and Privacy Manager Responsible for all aspects of the organization's corporate compliance and ethics program and associated fraud, waste, and abuse prevention initiatives Investigate compliance issues, recommend corrective action, follow up for implementation. Maintain a system of reporting and ensure the integrity of all compliance investigations, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance. Manage the day-to-day activities of the Compliance Division of the AHS Corporate Compliance and Internal Audit Department Develop and update written internal standards of conduct and associated policies, procedures, and guidance pertaining to the implementation of the AHS Compliance and Ethics program and related fraud, waste, and abuse prevention initiatives Oversee the maintenance of the organizational-wide compliance reporting process and associated organizational-wide confidential and anonymous compliance hotline Responsible for compliance with HIPAA Privacy and Breach Notification Rules and applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information; data breach determinations and follow up; investigations; risk assessment and analysis; internal and external reporting; HIPAA training framework and program; and digital privacy compliance-related matters Develop and conduct organizational-wide compliance-related training and education for AHS new team member orientation, as well as for annual and ad hoc compliance training Develop vendor management compliance program Develop and revise: (i) compliance and ethics program charter; and (ii) compliance plan Conduct annual compliance program effectiveness reviews Develop Accountable Care Organization compliance program Draft, revise, and negotiate business associate agreements Review FCPA and OFAC contractual provisions, as necessary Develop and perform focused audit-related activities including, without limitation, the conduct of compliance reviews, the assessment of existing internal controls, and the performance of gap analyses, concerning organizational risk areas (whether such risks are predefined by regulation or regulatory guidance, or identified through organizational experience) for legal and regulatory compliance Identify compliance risks based on, among other things, applicable law, healthcare industry best practices, organizational threats and vulnerabilities related to compliance risk areas, and State and Federal compliance work plans. As requested by, and in consultation with, the Director of Internal Audit and ERM, assist, as necessary, in the development of assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and championing, coordination, and facilitation of enterprise risk management activities Conduct, manage, and document investigatory activities in response to compliance-related and privacy-related complaints and concerns Perform effectiveness assessments of the AHS Compliance Program Oversee the Medicare C & D compliance program Oversee Organized Delivery System compliance Conduct facility and medical provider compliance committees as assigned Oversee compliance with the Employee and Contractor Education provisions of the Federal Deficit Reduction Act of 2005 (DRA) and corresponding New Jersey DRA requirements Serve as a subject matter expert for Stark, Anti-kickback, Civil Monetary Penalties Law; and conflicts of interest issues Provide general compliance support to the organizations accountable care organization Support the review, negotiation and drafting of business associate agreements #J-18808-Ljbffr Atlantic Health