Director, Corporate Compliance

Atlantic Health SystemMorristown, NJ
Onsite

About The Position

Responsible for all aspects of the organization’s corporate compliance program and associated fraud, waste, and abuse prevention initiatives. This role involves managing the day-to-day activities of the Compliance Division, developing and updating policies and procedures, overseeing compliance reporting, and providing oversight of organizational-wide privacy matters including HIPAA compliance, data breach determinations, and digital privacy. The position also includes developing and conducting compliance training, preparing reports for various committees, performing focused audit activities, assessing organizational risks, and managing investigations into compliance-related complaints.

Requirements

  • Collaboration
  • business judgment
  • ability to manage people, processes, and projects

Responsibilities

  • Manage the day-to-day activities, including the supervision of assigned direct and indirect reports, 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.
  • Provide, from a compliance perspective, oversight of organizational-wide privacy including, without limitation: (i) (a) HIPAA Privacy and Breach Notification Rules compliance; and (b) applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information, as well as applicable Federal and State privacy breach notification rules compliance; (ii) data breach determinations and follow up; (iii) investigations; (iv) risk assessment and analysis; (v) internal and external reporting; (vi) HIPAA training framework and program; (vii) the management and monitoring of business associate agreements and associated processes; and (viii) digital privacy compliance-related matters.
  • Develop and conduct organizational-wide compliance-related training and education for AHS new team member team member orientation, as well as for annual and ad hoc compliance training.
  • Prepare agenda materials for, and report out at, the various AHS Hospital’s compliance committees, as well as other compliance-related committees as directed by the VP of Corporate Compliance and Internal Audit, covering compliance program activities and associated metrics.
  • 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.
  • Develop and lead the ongoing (at least annual): (i) assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and (ii) championing, coordination, and facilitation of enterprise risk management activities.
  • Conduct, manage, and document investigatory activities in response to compliance-related complaints and concerns.
  • Perform ongoing and annual effectiveness assessments of the AHS Compliance Program.

Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance
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