Reports directly to the VP, Chief Compliance Officer.
Responsible for identifying, preventing, and detecting regulatory and privacy compliance issues, consistent with the Compliance Plan.
Partners internally to enhance the culture of compliance and ensure adequate controls and compliance with applicable laws and regulatory requirements.
Acts independently in his or her position so as to protect against any conflicts of interest that may arise from performing assigned duties.
Facilitates ongoing compliance education and training across Tower Health and serves as a resource partner.
Investigates and acts on reports or allegations concerning possible unethical or improper business practices, and monitors subsequent corrective action and/or compliance.
Audits and monitors the effectiveness of the exclusion screening process.
Develops and oversees policies and programs that encourage all employees across Tower Health to seek clarification of policies, discuss compliance questions and concerns, and report suspected fraud and other improprieties without fear of retaliation.
Serves as the designated privacy officer; receiving and responding to questions and complaints regarding protected health information.
Oversees ongoing activities related to adherence to policies and procedures on privacy of, and access to, patient health information and other protected information in compliance with federal and state laws.
Manages the process of responding to potential HIPAA violations, including breach analysis and timely investigation and response.
Audits and monitors privacy compliance; performing periodic privacy risk assessments; and conducting ongoing remediation and assessment.
Performs timely investigation and follow up of assigned compliance hotlines calls.
Develops or revises corporate compliance policies and procedures, as needed.
Partners with Internal Audit to conduct and contribute to annual risk assessment. Develops methods to continually survey the risk environment and conduct continuous risk assessments.
In collaboration with CCO, develops effective relationships with Tower Health entities, leadership and teammates to enhance compliance culture and increase program visibility.
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Qualifications
Education Requirements
4 year Bachelor's Degree - OR - combination of relevant education & experience may be considered in lieu of Bachelor's Degree
Experience
Prior compliance and privacy experience working in a health care system required