Director, Compliance and Privacy

The Compliance and Privacy Director is responsible for assisting with leading and overseeing the compliance and privacy program development, implementation, and maintenance. This includes facilitating adherence to all relevant compliance and privacy policies and procedures, as well as compliance privacy related laws and regulations. Reporting directly to the VP of Compliance and Privacy this person will provide strategic leadership, oversight and vision to build, enhance and sustain a comprehensive compliance and privacy program, promoting company-wide compliance with all applicable privacy laws and regulations. This position manages the organization's compliance work plan and works in coordination with operations leaders to improve compliance and privacy awareness and to enhance the culture of compliance.

Duties/Responsibilities:

• Independently manages compliance and privacy projects of high complexity to the desired outcome.
• Establishes and executes on program work plan items.
• Develops, implements, and maintains compliance and privacy policies and procedures and advises operational units on policy, procedure, and operational development.
• Serves as compliance investigation and consulting resource to organization. Provides consultation on internal and external requirements. Evaluates regulatory requirements and potential operational impacts.
• Performs risk assessment and mitigation activities and audits related to compliance and privacy. Conducts initial and periodic assessments, risk analysis, and audits.
• Develops and monitors corrective action strategies and action plans. Communicates status of same to leadership.
• Monitors and keeps leadership abreast of regulatory issues, deficiencies, or potential problems that may have financial impacts or involve regulatory intervention activities.
• Actively participates in the development and implementation of compliance program communication and training plans, including collaborating with other corporate support teams' business units.
• Assists in identification of compliance program needs. Recommends and develops strategies and plans to address same. Develops supporting documentation for compliance program. Reviews and revises compliance department work plan on a regular basis.
• Conducts investigations of allegations of non-compliance or regulatory violations, including those received from the anonymous or confidential hotline. Reports findings and resolutions to leadership.
• Provide guidance with interpreting regulations and health plan guidelines.
• Trains and develops staff and appropriately discerns and escalates issues that require management and communication upward.

Required Skills/Abilities:

• Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner.
• Demonstrated organization, analytical, facilitation, communication, presentation skills.
• Excellent interpersonal skills with the ability to build relationships that effectively influence behavior.
• Detail-oriented with excellent follow-through to drive inquiries, consultations, and investigations to resolution.
• Demonstrated knowledge related to federal and state laws and regulations, applicable electronic systems, processes, and operations.
• Demonstrated ability to consult, advise, and translate customer needs into solution alternatives.
• Demonstrated knowledge of and skill in conflict resolution, decision making, group presentations, group process facilitation, influence, interpersonal relations, oral communication, problem solving, project management, quality management, results orientation, systems thinking, team building, teamwork, written communication, change management, investigation, and risk assessment.
• Demonstrated knowledge of and skill in word processing, multimedia presentations, spreadsheet, database, project management, and desktop publishing PC applications.
• Ability to analyze and respond to complex compliance subject area scenarios independently.
• Advanced professional writing skills.

Education and Experience:

• Bachelor's degree in healthcare, Public or Business Administration, Human Resources Management or another approved related field required.
• Graduate level degree preferred
• HCCA certification preferred
• 3-5 years of experience working in a value-based care
• Minimum of 3-5 years of compliance, privacy, risk, auditing, or legal experience preferred
• Experience using compliance software, such as SAI 360

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.