Director Compliance

Tower HealthWest Reading, PA
Onsite

About The Position

The Director Compliance is responsible for identifying, preventing, and detecting regulatory and privacy compliance issues, consistent with the Compliance Plan. This role involves partnering internally to enhance the culture of compliance and ensure adequate controls and adherence to applicable laws and regulatory requirements. The Director acts independently to prevent conflicts of interest, facilitates ongoing compliance education and training across Tower Health, and serves as a resource partner. Key duties include investigating and addressing reports or allegations of unethical or improper business practices, monitoring corrective actions, and auditing the exclusion screening process. The Director also develops and oversees policies that encourage employees to report concerns without fear of retaliation. As the designated privacy officer, this position handles questions and complaints regarding protected health information, ensures adherence to privacy policies, manages responses to potential HIPAA violations (including breach analysis and investigation), and conducts periodic privacy risk assessments. Additional responsibilities include timely investigation of compliance hotline calls, developing corporate compliance policies, and collaborating with Internal Audit on annual and continuous risk assessments. The Director will also work with the CCO to build relationships across Tower Health to enhance the compliance culture and program visibility.

Requirements

  • 4 year Bachelor's Degree - OR - combination of relevant education & experience may be considered in lieu of Bachelor's Degree
  • Prior compliance and privacy experience working in a health care system
  • Monitoring and auditing experience.
  • Knowledge of conducting risk assessments.
  • Healthcare experience required
  • Analytical Skills
  • Change Management
  • Collaborative Skills
  • Computer Skills to include use and navigation
  • Customer Service Skills
  • Delegation Skills
  • Detail Oriented
  • Epic Proficiency
  • Excellent Communications Skills
  • Excellent Interpersonal Skills
  • Financial and Business Acumen
  • General Clerical Skills
  • Keyboarding
  • Leadership Skills
  • Listening Skills
  • Medical Terminology
  • Microsoft Office Applications
  • Multitasking
  • Organizational Skills
  • Prepare & Give Presentations
  • Problem Solving Skills
  • Project Management Skills
  • Service Orientation
  • Strategic Thinking
  • Strong Team Player

Nice To Haves

  • Clinical background ideal

Responsibilities

  • Identifying, preventing, and detecting regulatory and privacy compliance issues, consistent with the Compliance Plan.
  • Partnering internally to enhance the culture of compliance and ensure adequate controls and compliance with applicable laws and regulatory requirements.
  • Acting independently to protect against any conflicts of interest that may arise from performing assigned duties.
  • Facilitating ongoing compliance education and training across Tower Health and serving as a resource partner.
  • Investigating and acting on reports or allegations concerning possible unethical or improper business practices, and monitoring subsequent corrective action and/or compliance.
  • Auditing and monitoring the effectiveness of the exclusion screening process.
  • Developing and overseeing policies and programs that encourage all employees across Tower Health to seek clarification of policies, discuss compliance questions and concerns, and report suspected fraud and other improprieties without fear of retaliation.
  • Serving as the designated privacy officer; receiving and responding to questions and complaints regarding protected health information.
  • Overseeing ongoing activities related to adherence to policies and procedures on privacy of, and access to, patient health information and other protected information in compliance with federal and state laws.
  • Managing the process of responding to potential HIPAA violations, including breach analysis and timely investigation and response.
  • Auditing and monitoring privacy compliance; performing periodic privacy risk assessments; and conducting ongoing remediation and assessment.
  • Performing timely investigation and follow up of assigned compliance hotlines calls.
  • Developing or revising corporate compliance policies and procedures, as needed.
  • Partnering with Internal Audit to conduct and contribute to annual risk assessment.
  • Developing methods to continually survey the risk environment and conduct continuous risk assessments.
  • In collaboration with CCO, developing effective relationships with Tower Health entities, leadership and teammates to enhance compliance culture and increase program visibility.
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