Sharp Healthplan-posted 3 months ago
$57,828 - $91,406/Yr
Full-time
San Diego, CA
251-500 employees
Insurance Carriers and Related Activities

The Manager Entity Compliance is responsible for managing and coordinating the Compliance and Privacy Program for the assigned Sharp HealthCare entities, and, in collaboration with compliance leadership, ensuring effective oversight and management of compliance operations with an intent of preventing and detecting violations of law and other misconduct and to promote ethical practices and a commitment to compliance with applicable federal, California, and local laws, rules, regulations, and internal policies and procedures.

  • Work closely with Compliance Director and Entity Leadership to identify and mitigate risks and potential areas of non-compliance.
  • Actively participate in the annual/ongoing risk assessment processes, implementing the compliance workplan and other related risk mitigation initiatives.
  • Plan, execute and manage investigations, engaging Compliance Leadership and other subject matter experts as needed to effectively manage timely and thorough reviews.
  • Maintain appropriate documentation and provide periodic written and verbal updates to leadership.
  • Support the design and implementation of corrective action plans.
  • Develop and implement education for various entity groups in collaboration with Compliance Leadership.
  • Stay informed of new and emerging areas of compliance and privacy risks, trends to ensure implementation of best practices.
  • Bachelor's Degree
  • 5 years of healthcare compliance experience with increasing responsibility, including at least three years' experience conducting compliance audits and investigations.
  • Strong compliance orientation, coupled with healthcare processes expertise.
  • Experience in healthcare operations and related regulatory requirements such as Fraud, Waste, and Abuse, Privacy and Security, Conflict of Interest, and other federal/state legislation.
  • 3 years experience in acute healthcare environment in a complex health system.
  • Certified Health Care Compliance (CHC) - Compliance Certification Board - PREFERRED
  • Certified in Healthcare Privacy Compliance (CHPC) - Health Care Compliance Association (HCCA) - PREFERRED
  • Certified Compliance Officer (CCO) - Various - Employee provides certificate - PREFERRED
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