About The Position

The Compliance and Privacy Senior Manager, under the direction of the local 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 entity 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.

Requirements

  • Bachelor’s degree with healthcare compliance experience is required.
  • Must possess more than five (5) years of work-related experience in health care law and regulatory matters.
  • Healthcare Compliance Certification (CHC) or other compliance certification strongly preferred.

Nice To Haves

  • Juris Doctor (J.D.) from law school preferred.

Responsibilities

  • Manages the implementation of SolutionHealth 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.
  • Manages and coordinates the monitoring and auditing activities including provision 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 entity Compliance and Privacy Officer.
  • Regularly reviews the Corporate Compliance Program policies and manuals and recommends appropriate revisions and modifications.
  • Assists with upholding and enforcing local System's Code of Conduct.
  • Assists with maintaining a confidential/anonymous reporting system, including a telephone help line, to allow reporting of suspected noncompliance or incidents of fraud and abuse.
  • Assists with timely review of complaints, concerns, or questions relative to compliance issues.
  • 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.
  • Develops and implements compliance and privacy training, education, and other preventative mechanisms for reducing the risk of noncompliance or fraud and abuse.
  • Develops and implements monitoring, auditing, and other detection mechanisms for identifying occurrences of noncompliance or fraud and abuse.
  • Reviews reports of all internal audits and investigates any identified areas of noncompliance revealed in those audits.
  • Works with SolutionHealth’s legal counsel to retain and oversee periodic external auditing, when appropriate.
  • Oversees Health Information Portability and Accountability Act (HIPAA) and other privacy concerns, issues or reported violations.
  • 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.

Benefits

  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Bachelor's degree

Number of Employees

5,001-10,000 employees

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