SVP, Chief Compliance & Privacy Officer
About The Position
The SVP, Chief Compliance and Privacy Officer leads AHN/AHNSSP’s compliance initiatives, including the design, development, implementation, and ongoing monitoring of an effective corporate compliance and privacy program. The role oversees Medicare, Medicaid, managed care, healthcare, and regulatory compliance, ensuring that appropriate controls and processes are in place to meet federal and state requirements and the requirements of contracted upstream managed care plans. The CCPO directs AHN/AHNSSP employees in regulatory compliance and builds and maintains a culture of compliance throughout business, administrative, and clinical operations. The position reports to the CEO and President of AHN/AHNSSP and has direct access to the AHN/AHNSSP Board of Directors. Working with the CEO and President and the Board, the CCPO is authorized to take necessary actions to achieve an effective compliance program, including developing, communicating, implementing, training, and overseeing compliance activities related to the laws, regulations, and policies governing the organization.
Requirements
- Bachelor’s degree required.
- At least 12 years of compliance program experience in the managed health care 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, investigation, risk assessment, enforcement, and formulating comprehensive audit policies, programs, and plans, including HIPAA, Medicare, and OSHA.
- Knowledge of and experience with 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, multifaceted healthcare organization with a matrixed reporting structure.
- Certification in healthcare compliance, 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.
- Ensure appropriate controls and processes are in place to comply with federal and state regulators and contracted upstream managed care plans.
- Direct AHN/AHNSSP employees in regulatory compliance.
- Build and maintain a culture of compliance across business, administrative, and clinical operations.
- Develop, communicate, implement, train, and oversee compliance activities related to the healthcare laws, regulations, and policies governing AHN/AHNSSP.
- Lead and manage compliance teams.
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
- May qualify for discretionary bonuses or incentives
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What This Job Offers
Job Type
Full-time
Career Level
Executive
