Director Of Compliance/HIPAA Privacy Officer

The Arc Jefferson St Lawrence•Watertown, NY

18h•Onsite

About The Position

Under the direction of the Chief Executive Officer, the Director of Corporate Compliance is responsible and accountable for the development and/or implementation of the agency’s Corporate Compliance Program. The Director of Corporate Compliance is responsible for ensuring that the agency has adopted a comprehensive and effective compliance program and for maintaining and expanding visibility of the compliance program through effective education and training programs at all levels. Support the goals, objectives, and philosophy of the agency. Will support the Agency’s values by working with measurable signs of PRIDE.

Requirements

Bachelor’s Degree in Human Services, Business, Public Administration, or a related field with an advanced degree in Business or Public Administration preferred.
Five years’ experience working with state regulated programs preferred.
Understanding of government requirements/guidance for healthcare compliance programs.
Experience with regulatory issues, familiarity with New York Federal Fraud and Abuse Laws, familiarity with regulations related to OPWDD, OMH, DOH, SED, and OCFS.
Familiarity with the Office of Medicaid Inspector General requirements.
Authorized to work in the United States and pass all background clearances.
Ethical Conduct
Time Management
Work independently
Operate various cleaning machines
Communication with Management
Must maintain valid driver’s license, insurance and vehicle inspection.
Ability to utilize personal vehicle or agency vehicle per agency policies.

Nice To Haves

advanced degree in Business or Public Administration preferred.
Five years’ experience working with state regulated programs preferred.

Responsibilities

Serve as the Agency’s Corporate Compliance Officer, HIPAA Privacy Officer, and Medicaid Compliance Officer.
Oversee the design, implementation, and daily operation of the Corporate Compliance Program, including policies, procedures, and internal controls to prevent illegal, unethical, or improper conduct.
Maintain expert knowledge of applicable federal and state laws, regulations, and guidance affecting agency operations and compliance obligations.
Conduct and oversee risk assessments, develop and maintain the annual compliance work plan, and evaluate program effectiveness.
Oversee internal and external compliance audits, establish audit standards, controls, and performance measures, and ensure corrective actions are implemented as needed.
Monitor compliance trends and emerging risks and recommend mitigation strategies.
Develop, implement, and oversee HIPAA Privacy and Security policies and procedures to ensure proper use, disclosure, and safeguarding of protected health information (PHI).
Maintain oversight of privacy requests, authorizations, disclosures, and distribution of the Notice of Privacy Practices.
Conduct or oversee compliance and privacy investigations, including those initiated by the CEO, Board of Directors, or Corporate Compliance Committee.
Prepare written investigation reports with findings, recommendations, and corrective action plans.
Ensure timely and appropriate reporting of violations or potential violations to regulatory or enforcement agencies when required.
Administer the Compliance Helpline and whistleblower process, ensuring confidentiality, anonymity, and protection from retaliation.
Coordinate with legal, quality assurance, and leadership to address matters involving potentially illegal, unethical, or improper conduct.
Ensure consistent disciplinary actions for violations of compliance policies and standards.
Maintain a standardized compliance and ethics training program, including new hire orientation and ongoing training.
Ensure employees acknowledge and understand the Standards of Conduct and related compliance policies.
Attend Board meetings regularly and report to the Board of Directors and Corporate Compliance Committee on compliance activities, risks, trends, audits, and investigations.
Prepare and present detailed compliance reports to the CEO, Corporate Compliance Committee, and Board.
Partner with Human Resources to ensure exclusion and debarment checks are completed and that the Agency does not employ or contract with ineligible individuals or entities.
Consult with The Arc New York Corporate Compliance staff and/or legal counsel to address complex or high-risk compliance matters.