Compliance Manager & Privacy Officer

Position Summary:

Under the general direction of the Director of Compliance, the Compliance Manager and Privacy Officer (CMPO) support Codman Square Health Center (Codman) by developing, implementing and maintaining a robust Corporate Compliance Program to strengthen internal controls. This includes executing communication campaigns, conducting investigations, monitoring progress of agreed upon corrective actions, performing audits, and conducting trainings, etc.

The CMPO serves as a project lead and subject matter expert for Codman’s compliance and privacy operational initiatives. The CMPO is responsible for assisting the Director of Compliance in facilitating, executing, monitoring, and documenting policies, procedures, processes, and overall management of the compliance operations. 

Primary Responsibilities:

• In collaboration with the Director of Compliance, Plans, directs, and manages on a day-to-day basis, the health center’s ethics and compliance related activities, leveraging existing resources for support.

Participates in the development, implementation, and facilitation of strategies for all compliance related activities and aid in the development and maintenance of Codman’s performance with promoting a culture of integrity.

• Plans and communicates the ethics and compliance standards and procedures to all employees, providers, contracts, vendors, volunteers and students through training programs and publications.
• Provides advice and interprets the Code of Conduct, including the applicability of the health center’s policies and procedures.
• Work collaboratively with management, employees, and contractors to ensure program-wide compliance efforts are and remain in alignment with Codman Square Health Center code of conduct with business and clinical operations, and with federal, state, and local requirements. Develop robust audit schedule to support these activities.
• Evaluate compliance and make recommended changes necessary to achieve or enhance effective compliance with simplicity in operations, efficiency. and speed in execution and to support patient service and outcomes.
• Identify and monitor compliance risks, developing an annual compliance risk assessment and analysis based on quarterly risk assessments and other audits, and developing a work plan.
• Review and update compliance and privacy policies and procedures regarding compliance and privacy requirements.
• Act as project lead for compliance and privacy initiatives, and serve as a subject matter expert on corporate compliance, and serve as a resource for Codman colleagues
• Work closely with Director of Finance [insert Director of Procurement if that’s not Dan] Review and manage contracts to ensure compliance with federal, state, and local requirements.
• Develop, conduct compliance and privacy communications and training modules and programs
• Track and carry out compliance and privacy training requirements. Monitor the compliance and privacy lines of communication (incident system, telephone voicemail messages, Hotline and emails) and respond in a timely basis.
• Assisting with the performance of investigations, developing recommendation and corrective action, audit and monitor incidents, clinics, business units or programs that are required to implement corrective action.
• Develop comprehensive reports as required in accordance with the Health Center’s Compliance Program; works closely with the Medical Team, Legal, Finance, and Human Resources.
• Assist and support the Health Center, with any required or desired certifications.
• Develop, analyze, and communicate data and information to demonstrate the effectiveness of compliance efforts.
• Chair organization committees, as assigned.
• Complete other duties as assigned.

Qualifications and Skills:

• Bachelors Degree in Health Sciences, Public Health, Risk Management or Public Administration Preferred. Equivalent work experience will be considered.
• A minimum of five years in health care compliance or related field (legal)
• Extensive knowledge of federal and state health care laws and regulations
• Experience with Medicare, Medicaid, and Commercial Payer terms and conditions of participation
• Subject Matter Expert in federal and state Privacy Laws

• Experience with emphasizing risk management, quality and process improvement is preferred.
• Certification in healthcare compliance, or a similar professional certification relevant to the responsibilities in this position description, is preferred.
• Training and/or certification in project management is preferred.
• Experience responding to audit findings.
• Experience working as or supporting clinical healthcare providers is preferred.
• Experience with contract management.

 Competencies, Skills, and Attributes:

• Unquestionable ethics and integrity, with clear understanding and adherence to ethical principles, organization values, code of conduct and policies
• Ability to maintain objective perspective
• Professional demeanor, communication style and approach.
• Ability to use discretion, maintain confidentiality and make difficult decisions
• Excellent analytical and critical decision-making, investigational skills.
• Excellent verbal and written communications skills.
• Self-starter with ability to work independently.
• Strong organizational, time, project management skills with proven ability to multi-task and manage complex projects.
• Ability to meet deadlines and adjust to changes in policies, procedures, and priorities.
• Ability and willingness to take initiative to address problems and make continuous process improvements.
• Ability to enforce and educate employees/staff on compliance and privacy areas, including established ethics and codes of conduct.
• Ability to interface with management and translate complex issues into project plans with deliverables and measurable outcomes.
• Strong interpersonal skills, including being approachable, effective listening, appropriate use of style and language for the audience and ability to work with all levels of management
• Ability to communicate legal and regulatory issues to clinical, finance and other operational personnel.

Physical Requirements

• Must be able to stand or sit for prolonged periods (50% of the time)
• Must be able to lift up to 25 pounds and load onto shelves.
• Visual acuity sufficient for frequent reading and computer use

Salary : $77,000 - $118,500