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Job Description

Description

  

This position is responsible for ensuring that non-clinical business operations and procedures comply with legal requirements and internal policies, is responsible for privacy investigations and managing all matters relating to insurance for the organizations.


This position will perform a range of duties including evaluating all current and new non-clinical, non-finance related compliance regulations, auditing company processes, building the framework to ensure high integrity compliance, and leading training sessions for staff. The person in this role must engender the trust and confidence of all departments as the subject matter expert in compliance matters. He/she must also be an excellent communicator, have and continue to develop in-depth knowledge of the latest industry laws, rules and regulations. This position manages compliance, privacy matters, risk management and insurance programs for WCGME and TWCCH, including but not limited to HIPAA and 42 CFR Part 2 Compliance, Safe Event Reporting, and insurance management. This position is also responsible for implementing and/or conducting all related staff and contractor trainings to promote our culture of accountability and high integrity in everything we do. 


   JOB DUTIES and ESSENTIAL FUNCTIONS 

  • Gain and maintain in-depth knowledge of both organizations and their respective activities in order to ensure adequate compliance (except in the areas of clinical and finance compliance), insurance and risk management oversight and resources as the organization evolves.
  • Ensure that the importance of ethical and legal conduct and applicable standards is communicated to all employees and that all employees receive periodic training in these matters.
  • Train and deliver educational programs for all staff on a yearly basis in all required areas of focus (such as HIPAA, HITECH, OSHA, etc.). 
  • Own the metrics relating to HIPAA/privacy incidents, insurance compliance and training on the Legal Department Balanced Scorecard.
  • Ensure that any matter potentially requiring external reporting is communicated to the Director of Compliance and General Counsel.
  • Develop a reliable presence at and collaborate with clinic managers to increase awareness of the importance of the Compliance Program.
  • Spread the culture of transparently and courageously reporting all safe events and championing the PDSA process to continually enhance quality improvement and quality assurance efforts. 
  • Create/implement policy and training programs for staff who access and enter information in MEDENT about proper documentation in patient charts.
  • Ensure medical malpractice insurance coverage and medical licenses are current for all providers.
  • Establish and maintain a mechanism to track access to protected health information (PHI) within the company, and as required by law, to allow qualified individuals to review reports on such activity; develop a random audit process and report template.
  • Maintain current knowledge of applicable federal and state laws, including but not limited to privacy laws, and monitor advancements in information privacy technologies to ensure organizational adaptation and compliance. 
  • Collaborate with department leaders in solving problems involving legal or risk management implications.
  • Administer (investigate, resolve and report on) non-clinical incidents submitted through the SAFE Reporting system along with the organization-wide spread of learning from each report.
  • Collaborate with the Director of Compliance and all appropriate departments to ensure the regular and systematic reporting of SAFE events to Executive Management, the GMEC and Patient Safety & Quality Committees of the organization(s) and Boards of Directors.

Requirements

  • Minimum bachelor’s degree in an associated field from an accredited college or university
  • HIPAA Privacy Certification preferred 
  • Minimum 3 years compliance experience preferred
  • Solutions-oriented 
  • Action-oriented
  • Self-directed
  • Experience in developing and implementing Compliance policies and education
  • Strong leadership capabilities with demonstrated ability to motivate staff toward change
  • Excellent skills in problem-solving and improvement, leading and coaching others, verbal and written communication 
  • Proficient in Word, Excel, PowerPoint and the Google platform
  • Must be a team player who is responsible, reliable, task oriented and punctual
  • Must be able to perform effectively in a fast paced environment with many changing priorities
  • Must be professional and customer service oriented to deliver excellence
  • Ability to work independently 
  • Have professional written and verbal communication and interpersonal skills
  • Willingness to work a flexible schedule
  • Some regional travel required; infrequent national travel possible

PACE CARD Metrics

  •  Achieve HIPAA Privacy Officer Certification (if not already achieved)
  •  Develop and implement an annual Strategic Plan to continually assess and educate staff about patient privacy rights
  •  Develop and maintain a mechanism to randomly audit and track access to protected health information (PHI) within the organizations and, as required by law, to allow qualified individuals to review reports on such activity; develop and implement a reporting framework.
  •  Present HIPAA incident reporting to staff quarterly and submit official report of any HIPAA Breaches to OCR annually or as otherwise required
  •  Develop the process and procedures to stack related PDSAs and SAFE events for reporting purposes; work with IT Department to automate and integrate with current systems; track on on-going basis and feed data to Balanced Score Card as well as GME Quarterly and Annual Reports
  •  Meet quarterly with risk management parallels at affiliated clinical learning environments to ensure that resident-initiated or resident-driven PDSAs and safe events, and clinical staff-initiated and driven PDSAs and Safe events, are followed through and reported appropriately, and learning shared among and between all organizations and departments and programs

 *COVID-19 vaccination required* 

Company Overview

  • Website thewrightcenter.org
  • Headquarters SCRANTON, PA
  • Size 200 - 500
  • Founded 1976
  • Type
  • CEO ROBERT E WRIGHT
  • Revenue $10M - $50M
  • Industry Healthcare
  • About the wright center for graduate medical education

Skills for Compliance Manager

The job skills required for Compliance Manager include Leadership, Risk Management, Problem Solving, Auditing, Integrity,and Verbal Communication etc. Having related job skills and expertise will give you an advantage when applying to be a Compliance Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Compliance Manager. Select any job title you are interested in and start to search job requirements.

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Career Path for Compliance Manager

The following is the career advancement route for Compliance Manager positions, which can be used as a reference in future career path planning. As a Compliance Manager, it can be promoted into senior positions as a Compliance Manager Senior that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Compliance Manager. You can explore the career advancement for a Compliance Manager below and select your interested title to get hiring information.