Summary
Responsible for overseeing the compliance and privacy program and reviews, and evaluates compliance issues/concerns within the organization. Ensures the board, senior management, and employees are in compliance with the rules and regulations of regulatory agencies, that company policies and procedures are being followed, and that behavior in the organization meets the company's standards of conduct.
Description
What You'll Do:
Develops, initiates, maintains, and revises policies, procedures, and work plans for the general operation of the compliance program and its related activities to ensure compliance with applicable regulations and prevent illegal, unethical, or improper conduct.
Monitors federal privacy laws and policy changes that affect the privacy program;
Allocates an appropriate allocation of budget and staffing recourses to implement and operate the organization-wide privacy program;
Develops a strategic organizational privacy plan for implementing applicable privacy controls, policies, and procedures;
Develops, disseminates, and implements operational privacy policies and procedures that govern the appropriate privacy and security controls for programs, information systems, or technologies involving PII; and
Updates privacy plan policies, and procedures as required to address changing requirements, but at least biennially.
Develops and oversees compliance training and/or educational initiatives for employees, board members, and subcontractors
Collaborates with other departments to direct compliance and privacy issues to appropriate existing channels for investigation and resolution. Consults with the corporate legal department as needed to resolve difficult, legal compliance issues. Acts as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.
Monitors new regulatory guidance ensuring new rules are evaluated and appropriately addressed.
Responds to alleged violations of rules, regulations, policies, procedures, and standards of conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.
Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Identifies potential areas of compliance and privacy vulnerability and risk, develops/implements Corrective Action Plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
Provides reports on a regular basis, and as directed or requested. May make formal presentations to the Board of Directors Compliance Committee during regularly scheduled board meetings to keep the board of directors and senior management informed of the operations and progress of compliance efforts. Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
Institutes and maintains an effective compliance communication program for the organization, including promoting the use of the compliance hotline, a heightened awareness of standards of conduct, and the understanding of new and existing compliance issues and related policies and procedures.
Works with the internal departments and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers.
What You'll Need:
Required Education:
Bachelor's Degree
Required Work Experience:
Ten+ years experience in a healthcare or insurance related organization or other relevant business experience.
Two years demonstrated leadership experience in a supervisory/management role or equivalent military experience in grade E4 or above. (may be concurrent)
Preferred…