Compliance and Privacy Manager

Overview

Collaborate with the Chief Executive Officer, General Counsel, Director of Quality Assurance, Vice Presidents of Operations, and other managers as necessary, to enhance organizational performance, privacy and safety. Overall duties include conducting research, needs assessment(s), field training, program development, program evaluation, and office inspections and/or investigations pertaining to alleged OSHA and/or HIPAA violations, compliance, disclosures and safety related matters. Projects will be determined, updated and/or changed based on business need. This position is the designated HIPAA Privacy Officer for the entire Company. This position measures, monitors and ensures compliance with federal, state and local laws, and rules and regulations impacting compliance requirements in healthcare.

Essential Duties and Responsibilities

• Develop, maintain and revise policies and procedures for the general operations of the compliance and HIPAA privacy program and its related activities to promote adherence to all laws and regulations, and prevent illegal, unethical, or improper conduct.
• Research, investigate and analyze compliance and privacy issues and report risks, develop and implement corrective action plans for resolution of problematic issues, and report risks and violations to the CEO, General Counsel and/or Board of Directors.
• Coordinate Coast Dental office inspections based on need to ensure that all compliance and safety protocols are being followed.
• Ensure employee and office compliance with government, health, and safety regulations.
• Primary party responsible for responding to OSHA complaints.
• Conduct compliance and safety investigations on an as-needed basis.
• Acts as the contact person for all HIPAA, compliance, and safety related issues.
• Conduct investigations into alleged HIPAA unauthorized disclosures.
• Oversee infection control and prevention practices, including sterilization.
• Prepare written responses to governmental agency (HHS) to rebut alleged HIPAA disclosures.
• Create, update and revise written policies and procedures relating to safety, compliance, Joint Commission and HIPAA.
• Assist in the creation of training manuals, multimedia visual aids, and other educational materials that are compliance, safety, and HIPAA oriented.
• Update training materials for compliance, safety and privacy programs on an as-needed basis.
• Assist in the planning, development and implementation of training sessions for compliance, safety and privacy programs for employees - both newly hired and existing. This includes mandatory training such as HIPAA and Fraud Waste & Abuse training.
• Document training initiatives and training procedures for compliance, safety and privacy programs.
• Modify and improve existing training programs for compliance, safety and privacy on an as-needed basis.
• Review and evaluate training programs for compliance with government regulations, including Medicaid and Medicare programs.
• Facilitate various compliance and safety related tasks for new office openings.
• Additional projects and/or responsibilities as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills and Abilities

• Possess and maintain comprehensive knowledge of relevant regulatory federal, state and local laws, rules and regulations impacting health care including HIPAA, HITECH, Medicare and Medicaid.
• Proven system wide managerial leadership and project management skills, ability to monitor performance metrics, sets goals and conduct annual reviews and create analysis from reported metrics.
• Exhibit exemplary oral and written communication skills.
• Detail-oriented with excellent organizational skills and the ability to prioritize and work under pressure.
• Facilitate relationships with health plan partners, to develop innovative efficient processes to meet the needs of the organization.
• Coordinate quality and service initiatives, consistent with the organization's strategic plan and service lines.
• Ability to handle sensitive information and maintain confidentiality.
• Ability to model and foster ethical behavior.
• Strong customer service skills.
• Ability to work in a fast-paced environment.
• Ability to multi-task and manage several projects simultaneously.
• Ability to work with a sense of urgency and meet deadlines.
• Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
• Must be able to use a variety of instructional methods including: classroom training, distance learning, demonstrations, on-the-job training, meetings and workshops.
• A certain degree of flexibility and creativity are required for this position.
• Must be willing to travel up to 50% of the time.
• Clean driving record with reliable transportation is mandatory. The Compliance and Privacy Manager must maintain personal motor vehicle insurance according to Company policy.
• Ability to work flexible hours, to possibly include early morning and evening hours. Occasional weekend work could be required.
• Previous experience in the dental, healthcare or risk management industries preferred.

Qualifications (Experience, Education, Licensure, Certification)

• Two-year degree in legal, healthcare, or training, or at least 5 years of relevant work experience in a dental care organization is helpful.
• Familiarity with dental regulatory matters and the operational aspects of running a dental care organization is a plus.