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AnewHealth · 2 days ago

Sr. Manager, Compliance

Valley View, OH

Full-time

Onsite

Senior Level

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs. The Sr. Manager of Compliance will oversee the coordination of the Compliance Program’s functions, manage licensing, maintain policies and procedures, and ensure compliance through audits and training.

Health CarePharmaceutical

Responsibilities

Management of all initial licenses and the annual renewal process of each facility’s 50 state licenses, their appropriate display, and all related recordkeeping

Maintaining Policy & Procedure process, to include annual policy review and update procedures, creation of new P&Ps as needed, and maintenance of the intranet P&P portal

Coordinate annual updates of all staff compliance related training modules and required attestations, and auditing for appropriate staff completion

Coordinating external Compliance, Privacy and Security audits as required by any health plans or organizations that ExactCare has a First Tier, Downstream, Related Entity (FDR) delegation agreement

Initial Quality Assurance and vetting of all wholesalers and suppliers/vendors and their annual compliance renewals

Coordinate routine/monthly employee compliance program updates and awareness campaign and measure Compliance Program effectiveness through employee surveys and evaluations

Managing patient HIPAA Privacy related requests, reporting, and disclosures

Coordinate ongoing gap analysis evaluations between existing P&Ps and compliance needs related to key regulatory standards (ie. HIPAA Privacy and Security, USP 795 and 800, PCI, HITRUST, etc) and developing plans to close gaps (new policies, updated documentation etc)

Assisting with compliance related audits as needed of other departments and business units as necessary

Qualification

Healthcare compliance experienceCertified Healthcare Compliance (CHC)Certified Healthcare Privacy Compliance (CHPC)Certified Compliance Professional (CCP)Bachelor's degreeAdvanced degree MSAdvanced degree MBAAdvanced degree MPHPolicy developmentTraining module developmentAttention to detailTeam management

Required

Bachelor's degree required

Demonstrated experience in a healthcare (hospital, health system, pharmacy) compliance role

Preferred

Strong preference for healthcare related discipline

Advanced degree strongly preferred (MS, MBA, MPH)

Current certification in compliance related area strongly preferred, such as: Certified Healthcare Compliance (CHC), Certified Healthcare Privacy Compliance (CHPC) or Certified Compliance Professional/Executive (CCP/CCE)