Senior Manager of Compliance and Privacy JD

Atlantic Health System•Morristown, NJ

1d•$84 - $157•Onsite

About The Position

This role is responsible for all aspects of the organization's corporate compliance and ethics program, including fraud, waste, and abuse prevention. The Senior Compliance and Privacy Manager will investigate compliance issues, recommend corrective actions, and monitor HIPAA/Patient Privacy compliance. This position manages the day-to-day activities of the Compliance Division within the AHS Corporate Compliance and Internal Audit Department. Key responsibilities include developing and updating policies, overseeing the compliance reporting process and hotline, and ensuring compliance with HIPAA Privacy and Breach Notification Rules, as well as applicable state privacy laws. The role also involves developing and conducting compliance training, managing vendor compliance, and overseeing various compliance programs such as Accountable Care Organization, Medicare C & D, and Organized Delivery System compliance. The Senior Manager will act as a subject matter expert for key healthcare regulations and provide general compliance support.

Requirements

Experience in corporate compliance and ethics programs.
Experience in fraud, waste, and abuse prevention initiatives.
Experience investigating compliance issues and recommending corrective actions.
Experience maintaining a system of reporting and ensuring integrity of compliance investigations.
Experience directing and coordinating internal audits.
Experience monitoring HIPAA/Patient Privacy compliance.
Experience managing day-to-day activities of a Compliance Division.
Experience developing and updating written internal standards of conduct, policies, procedures, and guidance.
Experience overseeing organizational-wide compliance reporting processes and confidential hotlines.
Experience with HIPAA Privacy and Breach Notification Rules.
Experience with applicable state privacy laws pertaining to patient and employee information.
Experience with data breach determinations and follow-up.
Experience with risk assessment and analysis.
Experience with HIPAA training framework and program development.
Experience with digital privacy compliance.
Experience developing and conducting organizational-wide compliance training and education.
Experience developing vendor management compliance programs.
Experience developing and revising compliance and ethics program charters and compliance plans.
Experience conducting annual compliance program effectiveness reviews.
Experience developing Accountable Care Organization compliance programs.
Experience drafting, revising, and negotiating business associate agreements.
Experience reviewing FCPA and OFAC contractual provisions.
Experience performing focused audit-related activities, including compliance reviews, internal control assessments, and gap analyses.
Experience identifying compliance risks based on applicable law, healthcare industry best practices, and organizational threats.
Experience assisting in the development and assessment of organizational-wide risks, including risk identification, scoring, and prioritization.
Experience championing, coordinating, and facilitating enterprise risk management activities.
Experience conducting, managing, and documenting investigatory activities in response to compliance-related and privacy-related complaints and concerns.
Experience performing effectiveness assessments of compliance programs.
Experience overseeing Medicare C & D compliance programs.
Experience overseeing Organized Delivery System compliance.
Experience conducting facility and medical provider compliance committees.
Experience overseeing compliance with the Employee and Contractor Education provisions of the Federal Deficit Reduction Act of 2005 (‘DRA”) and corresponding New Jersey DRA requirements.
Subject matter expertise in Stark Law, Anti-kickback Statute, Civil Monetary Penalties Law, and conflicts of interest issues.
Experience providing general compliance support to accountable care organizations.

Responsibilities

Responsible for all aspects of the organization's corporate compliance and ethics program and associated fraud, waste, and abuse prevention initiatives.
Investigate compliance issues, recommend corrective action, follow-up for implementation. Maintain a system of reporting and ensure the integrity of all compliance investigations, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance.
Manage the day-to-day activities 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.
Responsible for compliance with HIPAA Privacy and Breach Notification Rules and applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information; data breach determinations and follow up; investigations; risk assessment and analysis; internal and external reporting; HIPAA training framework and program; and 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.
Develop vendor management compliance program.
Develop and revise: (i) compliance and ethics program charter; and (ii) compliance plan.
Conduct annual compliance program effectiveness reviews.
Develop Accountable Care Organization compliance program.
Draft, revise, and negotiate business associate agreements.
Review FCPA and OFAC contractual provisions, as necessary.
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.
Identify compliance risks based on, among other things, applicable law, healthcare industry best practices, organizational threats and vulnerabilities related to compliance risk areas, and State and Federal compliance work plans. As requested by, and in consultation with, the Director of Internal Audit and ERM, assist, as necessary, in the development of assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and championing, coordination, and facilitation of enterprise risk management activities.
Conduct, manage, and document investigatory activities in response to compliance-related and privacy-related complaints and concerns.
Perform effectiveness assessments of the AHS Compliance Program.
Oversee the Medicare C & D compliance program.
Oversee Organized Delivery System compliance.
Conduct facility and medical provider compliance committees as assigned.
Oversee compliance with the Employee and Contractor Education provisions of the Federal Deficit Reduction Act of 2005 (‘DRA”) and corresponding New Jersey DRA requirements.
Serve as a subject matter expert for Stark, Anti-kickback, Civil Monetary Penalties Law; and conflicts of interest issues.
Provide general compliance support to the organizations accountable care organization.
Support the review, negotiation and drafting of business associate agreements.

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