Director, Corporate Compliance

Atlantic Health System; Morristown (NJ); On-site; USD 170,000 - 250,000; Full time

Job summary

Atlantic Health System is seeking a Director of Compliance to lead the organization’s corporate compliance program and its fraud, waste, and abuse prevention initiatives. You will supervise the Compliance Division, develop policies, and oversee the confidential hotline and reporting processes.

The role requires overseeing HIPAA privacy compliance, risk assessments, training, audits, and enterprise risk management, reporting to the VP and participating in hospital compliance committees.

Qualifications

• Experience leading compliance programs in a healthcare system.
• Strong knowledge of HIPAA privacy and breach notification rules.
• Experience in risk assessment and enterprise risk management.

Responsibilities

• Manage the day-to-day activities, including the supervision of assigned direct and indirect reports, 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.
• Provide, from a compliance perspective, oversight of organizational-wide privacy including HIPAA Privacy and Breach Notification Rules compliance and related privacy governance; data breach determinations, risk assessments, investigations, training, and BAA management.
• Develop and conduct organizational-wide compliance-related training and education for new team members, annual and ad hoc compliance training.
• Prepare agenda materials for and report out at AHS Hospital compliance committees and other committees as directed by leadership, covering compliance program activities and metrics.
• Develop and perform focused audit-related activities including compliance reviews, internal control assessments, and gap analyses for organizational risk areas.
• Develop and lead annual risk assessments and enterprise risk management coordination.
• Conduct, manage, and document investigatory activities in response to compliance-related complaints and concerns.
• Perform ongoing and annual effectiveness assessments of the AHS Compliance Program.

Skills

Leadership

Collaboration

Risk management

Policy development

Training

Audit & controls

Job description

Director of Compliance

Responsible for all aspects of the organization’s corporate compliance program and associated fraud, waste, and abuse prevention initiatives

1. Manage the day-to-day activities, including the supervision of assigned direct and indirect reports, of the Compliance Division of the AHS Corporate Compliance and Internal Audit Department.
2. 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.
3. Oversee the maintenance of the organizational-wide compliance reporting process and associated organizational-wide confidential and anonymous compliance hotline.
4. Provide, from a compliance perspective, oversight of organizational-wide privacy including, without limitation: (i) (a) HIPAA Privacy and Breach Notification Rules compliance; and (b) applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information, as well as applicable Federal and State privacy breach notification rules compliance; (ii) data breach determinations and follow up; (iii) investigations; (iv) risk assessment and analysis; (v) internal and external reporting; (vi) HIPAA training framework and program; (vii) the management and monitoring of business associate agreements and associated processes; and (viii) digital privacy compliance-related matters.
5. Develop and conduct organizational-wide compliance-related training and education for AHS new team member orientation, as well as for annual and ad hoc compliance training.
6. Prepare agenda materials for, and report out at, the various AHS Hospital compliance committees, as well as other compliance-related committees as directed by the VP of Corporate Compliance and Internal Audit, covering compliance program activities and associated metrics.
7. 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.
8. Develop and lead the ongoing (at least annual): (i) assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and (ii) championing, coordination, and facilitation of enterprise risk management activities.
9. Conduct, manage, and document investigatory activities in response to compliance-related complaints and concerns.
10. Perform ongoing and annual effectiveness assessments of the AHS Compliance Program.

Leadership Competencies Required: Collaboration, business, judgment, ability to manage people, processes, and projects