Job responsibilities - Senior Compliance and Privacy Manager
Responsible for all aspects of the organization's corporate compliance and ethics program and associated fraud, waste, and abuse prevention initiatives
Investigate compliance issues, recommend corrective action, follow-up for implementation. Maintain a system of reporting and ensure the integrity of all compliance investigations, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance.
Manage the day-to-day activities of the Compliance Division of the AHS Corporate Compliance and Internal Audit Department
Develop and update written internal standards of conduct and associated policies, procedures, and guidance pertaining to the implementation of the AHS Compliance and Ethics program and related fraud, waste, and abuse prevention initiatives
Oversee the maintenance of the organizational-wide compliance reporting process and associated organizational-wide confidential and anonymous compliance hotline
Responsible for compliance with HIPAA Privacy and Breach Notification Rules and applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information; data breach determinations and follow up; investigations; risk assessment and analysis; internal and external reporting; HIPAA training framework and program; and digital privacy compliance-related matters
Develop and conduct organizational-wide compliance-related training and education for AHS new team member team member orientation, as well as for annual and ad hoc compliance training
Develop vendor management compliance program;
Develop and revise: (i) compliance and ethics program charter; and (ii) compliance plan.
Conduct annual compliance program effectiveness reviews;
Develop Accountable Care Organization compliance program;
Draft, revise, and negotiate business associate agreements;
Review FCPA and OFAC contractual provisions, as necessary;
Develop and perform focused audit-related activities including, without limitation, the conduct of compliance reviews, the assessment of existing internal controls, and the performance of gap analyses, concerning organizational risk areas (whether such risks are predefined by regulation or regulatory guidance, or identified through organizational experience) for legal and regulatory compliance
Identify compliance risks based on, among other things, applicable law, healthcare industry best practices, organizational threats and vulnerabilities related to compliance risk areas, and State and Federal compliance work plans. As requested by, and in consultation with, the Director of Internal Audit and ERM, assist, as necessary, in the development of assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and championing, coordination, and facilitation of enterprise risk management activities.
Conduct, manage, and document investigatory activities in response to compliance-related and privacyrelated complaints and concerns
Perform effectiveness assessments of the AHS Compliance Program
Oversee the Medicare C & D compliance program;
Oversee Organized Delivery System compliance;
Conduct facility and medical provider compliance committees as assigned;
Oversee compliance with the Employee and Contractor Education provisions of the Federal Deficit Reduction Act of 2005 ('DRA") and corresponding New Jersey DRA requirements;
Serve as a subject matter expert for Stark, Anti-kickback, Civil Monetary Penalties Law; and conflicts of interest issues
Provide general compliance support to the organizations accountable care organization
Support the review, negotiation and drafting of business associate agreements
Numbers & Facts
Location
Morristown, NJ
Skills
Auditingunmatched
Best Practicesunmatched
Business Writingunmatched
Computer Securityunmatched
Contract Negotiationunmatched
Corporate Complianceunmatched
Corrective Actionunmatched
D Programming Languageunmatched
Document Managementunmatched
Establish Prioritiesunmatched
Gap Analysisunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Healthcareunmatched
Healthcare Providersunmatched
Internal Auditunmatched
Legalunmatched
Maintain Complianceunmatched
Medicareunmatched
Negotiation Skillsunmatched
Organizational Skillsunmatched
Performance Analysisunmatched
Program Evaluationunmatched
Project Planningunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Riskunmatched
Risk Analysisunmatched
Risk Managementunmatched
Systems Maintenanceunmatched
Training Programunmatched
Vendor/Supplier Managementunmatched
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