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JOB TITLE: Compliance Director, Privacy Officer
EMPLOYMENT TYPE: Full Time, 40 hours/week
SCHEDULED HOURS: Monday - Friday 8am-4:30pm or 8:30am-5pm
PROGRAM/LOCATION: CHR Support, Windsor
PC: 1649
DUTIES & RESPONSIBILITIES: Oversees the compliance program and educates the management team and staff about compliance, operational compliance issues, risk issues related to CHR programs, and appropriate details of the compliance program.
Fosters a culture free from blame and works to support a positive compliance program and culture which supports open lines of communication for reporting and addressing compliance concerns.
Maintains a detailed knowledge of contractual requirements and state and federal contract requirements and manages contracts for CHR.
Provides oversight and negotiates contracts with third party payers including managed care organizations and insurance companies.
Develops and oversees the annual audit and monitoring plan and program, basing it on trends in the industry and identifying areas for improvement within the organization.
Leads investigations to resolve compliance-related issues, breaches and/or patient complaints.
Maintains documentation systems and processes as needed to track, trend and manage compliance notifications, issues, corrective action plans, audit results etc.
and use those results to support the Compliance Officer Oversees incident reporting system for the organization.
Reports on trends and areas of needs, at least quarterly.
Reports Critical Incidents to regulatory bodies.
Prepares written monthly, quarterly, and annual reports of on compliance activities to senior management, Oversees submission of plans of correction related to deficiencies from licensing visits.
Supports compliance with corrective actions.
Assists the Compliance Officer in ensuring legal/regulatory compliance and contract compliance for CHR.
Serve as CHR resource for billing, credentialing and contracting troubleshooting, Participates in other project management and compliance activities as assigned to meet departmental and CHR objectives and requirements.
Serves as CHR HIPAA Privacy Officer; work closely with HIPAA Security Officer to ensure CHR is compliant with HIPAA, state and federal regulations with regard to privacy and security; assist in promoting awareness related to information privacy and security and enforce compliance with applicable state and federal laws.
Maintains and oversees the anonymous hotline and responds to employee compliance inquiries.
Designs and implements policies and procedures to ensure compliance with external requirements.
Develops and delivers training programs to educate employees on compliance requirements (including new employee orientation and annual training), and auditing / monitoring compliance related matters that are relevant and applicable to CHR.
Builds and maintains effective working relationships with internal and external parties.
Supervises Compliance Analysts Other duties as assigned QUALIFICATIONS: Education: Bachelor's degree in Health Care Administration, Business, Health Information Management, Nursing, Social Work or a related area is required.
Master's degree is preferred; however, directly applicable experience may substitute for educational requirements.
Experience: 3-5 years compliance related experience in healthcare; Experience developing, implementing, and monitoring an ethics and compliance program.
Licensure/Certification/Registration: Preferred, not required:
(i.e.
Certificate in Healthcare Compliance-CHC, Certified Professional Compliance Office- CPCO, Certified Professional Coder- CPC)
WHY CHR: Voted Top Workplace 10 years in a row!
Generous paid time off, including your birthday!
403b Retirement Plan contributions Competitive insurance premiums Discounts on pet, auto, and home insurances as well!
Education and licensure reimbursement Public Service Loan Forgiveness NHSC loan repayment program offered at select sites!
Tuition Reimbursement/Professional Development program Career development Internal career fairs- meet directly with a recruiter and discuss your career goals Plenty of growth opportunities (we have over 80 programs state-wide!)
Free trainings, clinical supervision, and mentoring available at many programs Robust wellness program Annual wellness stipend 3 free confidential counseling sessions available 24/7 to employees and household dependents through an employee assistance program FREE premium subscription to the Calm app (meditations, music, sleep stories and more!)
for you and up to 5 family members Virtual bring your pet to work lunches, free weekly yoga, employee appreciation events, and more!
Ample opportunities to get involved and have your voice heard Thought-provoking and interactive learning opportunities for all staff focused on increasing diversity, equity and inclusion (DE&I) throughout the agency Employee-lead resource groups Leadership luncheons with our CEO Join any one of our agency committees!
Stay informed with frequent updates Weekly video messages directly from our CEO Monthly newsletters And much, much more...!
*Many of the benefits listed above are available to all staff regardless of hours worked!
Please note that some of the listed benefits may be subject to eligibility.
COMPENSATION*:
$92,815/annually minimum, and up commensurate upon experience.
*Actual rates are determined at the time of offer and are based on relevant experience and internal equity, as well as, adherence to our internal equity policy.
Many of our positions offer program/location differentials and/or sign-on incentives.
(Please note, for part-time positions this range would be pro-rated based on hours worked)
CHR is committed to fostering an inclusive culture that respects differences and honors the experience of our diverse staff.
We encourage women, members of ethnic minorities, LGBTQ+ individuals, people with (dis)abilities, and veterans to apply.
Take the first step to a meaningful career and apply to CHR today!