Corporate Compliance Officer

Mary Cariola Center•Rochester, NY

1d•Onsite

About The Position

The Corporate Compliance Officer is responsible for the ongoing development, implementation, and review of an effective Corporate Compliance Program for Mary Cariola Center. This role also serves as the agency’s Privacy Officer, ensuring compliance with HIPAA regulations, developing and implementing policies, training employees, conducting reviews, managing complaints, investigating incidents, and ensuring patient rights. The officer will oversee the development and communication of agency policies, coordinate internal audits, and act as an institutional resource for applicable regulations from oversight agencies. They will maintain current knowledge of regulations through networking and education, establish the agenda for the Quality and Compliance committee of the Board, and participate in leadership team meetings. This role is the primary resource for internal investigations, ensuring confidential storage of information, preparing and tracking professional services contracts, and drafting compliance-related policies. Additionally, the officer will develop and disseminate corporate compliance training, implement an annual workplan, foster understanding of compliance and risk management, build productive relationships with partners and regulators, and develop technical expertise in regulatory aspects of agency services. They will also collaborate on privacy and security risk assessments, identify areas for improvement, stay informed on issues affecting children and families, demonstrate public speaking skills, build relationships with the Board of Directors, and ensure annual reviews and updates of the Compliance Plan, policy, and Employee Handbook. The officer will also conduct agency investigations of reported violations.

Requirements

Bachelor’s Degree and/or combination of advanced degrees and experience
Five years minimum management experience in designing and/or implementing quality improvement risk management systems
Experience with organizational change and developing systems to move the organization forward
Track record of leadership and management skills
Superb communication and listening skills
A lifelong learner of creative problem solving
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
Ability to communicate effectively and courteously with board members and agency personnel
Ability to deliver effective presentations to large audiences and board members
Thorough understanding of HIPAA and related federal and state privacy laws and regulations
Strong communication, analytical, and critical thinking skills
Ability to define problems, collect data, establish facts and draw valid conclusions
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
Ability to think abstractly and then convey abstract thoughts in an easy-to-understand format
Knowledge of regulations of multiple oversight agencies, including Medicaid, New York State Department of Education, and OPWDD
Familiarity with complex laws and regulations
Ability to obtain and maintain respect of board members and agency personnel
Ability to manage several projects simultaneously
Ability to work in a PC environment with database management experience

Nice To Haves

Master’s degree preferred

Responsibilities

Responsible for the ongoing development, implementation, and review of an effective Corporate Compliance Program for Mary Cariola Center
Serves as the agency’s Privacy Officer, responsible for ensuring compliance with HIPAA regulations
Develops and implements policies and procedures to protect patient health information (PHI)
Provides ongoing training on privacy protocols for staff
Regularly reviews compliance with HIPAA regulations
Handles inquiries and complaints about patient privacy rights
Investigates potential breaches of PHI & PII and reports them as necessary
Protects patient rights and confidentiality in accordance with state and federal laws
Works with legal consultants to develop and monitor agreements with business associates
Develops legally required documents such as the Notice of Privacy Practices, Consent, and Authorization
Establishes criteria for meeting HIPAA requirements, such as procedures for releasing information and de-identifying PHI
Serves as the first point of contact for government authorities and answers questions if an incident occurs
Oversees the development, communication, and implementation of agency policies
Works with agency leaders to develop a regular schedule of internal department audits and creates a schedule to report out to the Quality and Compliance committee of the Board
Acts as an institutional resource in applicable regulations of oversight agencies (e.g., Medicaid, New York State Department of Education, OPWDD)
Maintains current knowledge of regulations and funding of services through effective networking, review of literature, and participation in seminars and educational programs
In collaboration with the President/CEO, establishes agenda for Quality and Compliance committee of the Board and participates in meetings
Participates as an active member of the agency leadership team
Acts as the agency’s primary resource for internal investigations; provides investigation trend reporting to the Quality & Compliance Committee
Ensures confidential, secure storage of information relating to agency investigations and contracts
Prepares and tracks professional services contracts including their required insurance verification, credentialing, and affirmations, and their renewal in consultation with agency leadership
Reviews other agency contracts as needed
Drafts compliance-related policies and procedures for senior management and Quality & Compliance Committee approval
Develops and disseminates corporate compliance training to new hires, employees, and board members
Develops and implements annual Corporate Compliance operational workplan for continuous improvement
Partners with department directors to foster understanding of a variety of topics, including corporate compliance, risk and safety management, compliance with regulations
Creates productive working relationships with internal and external strategic partners, team members, staff, and regulators
Develops technical expertise related to the regulatory aspects of agency services
In collaboration with the Director of Information Technology/agency Security Officer, ensures compliance with requirements for privacy and security risk assessments
Identifies and builds on strengths, and constructively identifies areas of growth for performance and quality improvement; follows up on recommendations for areas of quality improvement
Remains well informed on local, state, and national issues affecting the well-being of children and families
Demonstrates effective public speaking and facilitation skills
Builds successful relationships with the Board of Directors, and reports directly to the Quality & Compliance Committee on matters of corporate compliance
Participates in executive sessions of the Board of Directors as requested
Ensures annual review and update of the Compliance Plan and policy and reports outcome to Board of Directors
Coordinates annual review and updates to the Employee Handbook and Supervisor’s guide
Conducts agency investigations of reported violations of agency policies and procedures, including Code of Conduct