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Atlantic Health · 1 day ago

Compliance and Privacy Manager - JD

Morristown, NJ

Full-time

Onsite

Senior Level

$58.56/hr - $103.06/hr

5+ years exp

Atlantic Health is a leading non-profit health care system in the nation, and they are seeking a Compliance and Privacy Manager. This role involves overseeing compliance risk areas, supporting the implementation of policies and procedures, and conducting compliance investigations and training.

FitnessHealth CareHospitalMedical

Responsibilities

The Manager will support the Director of Corporate Compliance to ensure implementation of appropriate policies and procedures, support compliance training, conduct investigations

Perform compliance program effectiveness reviews based on the seven (7) elements of an effective compliance program as set forth in: (i) relevant U.S. Department of Health and Human Services compliance program guidance; (ii) U.S. Sentencing Commission Guidelines Manual; (iii) U.S. Department of Justice, Criminal Division, compliance program guidance; (iv) CMS Conditions of Participation; (v) Medicare Shared Savings Program Accountable Care Organization Compliance guidance and regulatory requirements; and (vi) Medicare C & D/Medicare Advantage compliance program requirements

Maintain a system of reporting and ensure the integrity of all compliance investigations, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance

The Manager ensures that the Compliance Program effectively promotes prevention, detection, and resolution of instances of improper conduct to ensure conformity to state or federal laws, regulatory requirements, hospital policies, patient privacy, IT Security or the standards of conduct

The Manager will be responsible for following up on reported incidents of non-compliance, conduct and or coordinate internal investigations and prepare reports on the incidents and investigation findings

The Manager will be responsible for assessing compliance of the organization's policies and assist in updating or developing new policies

The Manager will assist in evaluating areas of potential billing, Stark, Anti-kickback compliance or patient privacy risk and collaborate with other managers within the organization to work with management to implement solutions to eliminate potential risks

Manage and investigate compliance questions, complaints, and reported incidents in collaboration with management, legal and human resources, as needed

Responsible for Compliance Program data analytics to develop reports for monitoring and auditing, case management and federal reporting

Responsible for developing organizational wide compliance communication plan, communications, and training programs

Coordinate HIPAA Security compliance activities with the AH HIPAA Security Officer/Information Security Officer

Investigate HIPAA-related complaints and draft corresponding reports

Draft responses to HIPAA-related regulatory inquiries

Review business associate agreements, data use agreements, and limited data set agreements and ensure said agreements are acceptable as to compliance form and meet standard form internal requirements

Conduct risk assessments and audits pertaining to assigned compliance risk areas

Conduct compliance and privacy training and education

Prepare PowerPoints and present educational or compliance-related topics to AH constituents

Draft compliance and HIPAA-related policies and procedures, as well as policies and procedures related to other assigned risk areas

Assist in conflict-of-interest reviews, evaluations, and determinations

Assist in conflict-of-interest endorsement requests reviews

Qualification

Juris Doctor degreeCCEPCHC certificationHealthcare compliance experienceCISACRISCAAIA certificationMicrosoft Office proficiencyBusiness ethics knowledgeCommunication skillsWriting skills

Required

A Juris Doctor degree from an ABA accredited law school and admission to the bar to practice law in one of the 50 States (or Washington, D.C.) of the U.S. is required

Experience in conducting compliance investigations, legal internal investigations, or similar investigations is required

Proficiency in Microsoft Word, Excel, PowerPoint

Demonstrated current knowledge of business ethics, legal and compliance risks

Advanced and highly developed communication and influencing skills

Excellent writing skills

Any successful candidate who does not hold the “CHC” designation at the time of appointment will be required to obtain the same within 12 months of appointment

A successful candidate must obtain either the “CISA”, “CRISC”, or “AAIA” designation from ISACA within eighteen (18) months of employment

Preferred

The holding of a Master's Degree in public health, healthcare, accounting, allied health, clinical-related studies, compliance, audit, computer science, finance, education, law, privacy, information security, information governance, or another field related to the responsibilities of the position at hand, is a plus

Candidates who hold the “CCEP” or “CHC” designation from the Compliance Certification Board are strongly preferred

Five years minimum of health care compliance experience, health care administration, legal, fraud, waste, and abuse; internal audit, organizational compliance, regulatory affairs or a filed related to the responsibilities of the position at hand, is preferred

Managerial experience in a healthcare organization or related setting is preferred

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

Company

Atlantic Health

Glassdoor4.0

Atlantic Health is at the forefront of medicine, setting standards for quality health care in New Jersey, Pennsylvania and the New York metropolitan area.

Founded in 1996

Newton, New Jersey, USA

10001+ employees