SVP, Chief Compliance & Privacy Officer
About The Position
The SVP, Chief Compliance and Privacy Officer (CCPO) leads AHN/AHNSSP’s compliance initiatives, including the design, development, implementation, and ongoing monitoring of an effective corporate compliance and privacy program. The role covers Medicare, Medicaid, managed care, healthcare, and regulatory compliance, ensuring appropriate controls and processes are in place to meet requirements of federal and state regulators and contracted upstream managed care plans. The CCPO directs AHN/AHNSSP employees in regulatory compliance and builds and maintains a culture of compliance integrated across business, administrative, and clinical operations. The position reports to the CEO and President of AHN/AHNSSP and has direct access to its Board of Directors. In partnership with the CEO and President and the Board, the CCPO is authorized to implement actions needed to achieve an effective compliance program, including developing, communicating, implementing, training, and overseeing compliance activities related to the healthcare laws, regulations, and policies governing AHN/AHNSSP’s business.
Requirements
- Bachelor’s degree required.
- At least 12 years of compliance program experience in the managed healthcare or insurance industry, including participation in government programs such as Medicare, Medicaid, or Medi-Medi.
- At least 5 years of supervision or lead responsibility.
- Proven track record in compliance auditing and monitoring, investigations, risk assessment, enforcement, and formulation of comprehensive audit policies, programs, and plans, including HIPAA, Medicare, and OSHA.
- Knowledge and experience in state and federal information privacy laws.
- Proven record of successfully leading and managing compliance teams.
Nice To Haves
- Master’s degree or Juris Doctorate (JD).
- Experience working with a large, multi-faceted healthcare organization with a matrixed reporting structure.
- Healthcare compliance certification, such as CPC, CHC, CPA, CIA, or CCEP.
Responsibilities
- Lead the design, development, implementation, and ongoing monitoring of the corporate compliance and privacy program.
- Oversee Medicare, Medicaid, managed care, healthcare, and regulatory compliance initiatives.
- Ensure controls and processes support compliance with federal and state regulators and contracted upstream managed care plans.
- Direct AHN/AHNSSP employees in regulatory compliance and foster a culture of compliance across business, administrative, and clinical operations.
- Develop, communicate, implement, train, and oversee compliance activities related to healthcare laws, regulations, and policies.
- Lead and manage compliance teams.
- Conduct and oversee compliance auditing and monitoring, investigations, risk assessment, enforcement, and the formulation of comprehensive audit policies, programs, and plans.
Benefits
- Medical, dental, and vision insurance
- 403(b) retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career advancement and development opportunities
- Paid Time Off and holidays
- Paid CME days
- Malpractice insurance and tail coverage
- Tuition reimbursement program
- Corporate employee discounts
- Employee referral bonus program
- Pet care insurance
- The role may qualify for discretionary bonuses or incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Executive
