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Years of Experience
Date Last Verified
ProfileGeneral Counsel VP Compliance & Risk Duties: Will report to the Chief Executive Officer. Responsible for the management, planning, development, and execution of affiliate legal, corporate compliance and governance, risk management, ethics, and enterprise risk management programs. Serves as PPOSBC Compliance Officer in accordance with federal regulations including HIPAA regulations. Advise and work collaboratively with affiliate leadership on applicable legal, regulatory and/or affiliate related corporate compliance/corporate governance, risk management, patient safety and ethics matters. Manage compliance, legal and risk management staff. At the direction of the Office of the President/CEO, oversee external counsel processes. Serve as affiliate corporate Compliance Officer, including HIPAA Compliance Officer and HIPAA Privacy Officer. Via the office of the CEO, report all affiliate legal, compliance, risk management, patient safety and ethics matters to the Audit & Compliance Committee of the affiliate Board of Directors. Protected Health Information (“PHI”) . In coordination with organizational leadership and any applicable external legal counsel, develop, implement, and maintain affiliate policies and procedure for protected health information in accordance with applicable regulatory, agency, and/or accreditation related guidelines and standards. Manage investigation and reporting processes for potential or actual affiliate PHI incidents. Processes for reporting by staff, investigation and resolution of any potential compliance violations, (i.e., breaches of protected health information). Management or oversight of any affiliate Quality Assurance and Quality Improvement measures, as well as any applicable reporting to external agencies. Provide affiliate leadership and strategic direction regarding privacy, confidentiality, and HIPAA/PHI compliance. Facilitate affiliate privacy and security training through awareness activities providing education on organizational policies, procedures, and practices. Plan, organize, integrate and evaluate the work of the affiliate agency-wide Quality Assurance and Risk Management committee. With staff, develop, implement and monitor work plans to minimize or eliminate risks. In conjunction with affiliate team members and leadership and in compliance with applicable federal and/or state regulations and, organize, supervise and participate in the development and administration of a comprehensive risk management and loss control program, design and implement risk management and mitigation measures and techniques, monitor the effectiveness of the techniques implemented. Independently or in collaboration with other affiliate team members or leadership, oversee special and periodic inspections of affiliate sites and operations to identify potential or actual risks. In collaboration with the office of the President/CEO, and other affiliate leadership and team members, leads affiliate PPFA accreditation processes. In collaboration with the office of the President/CEO, and other affiliate leadership and team members, manages/oversees affiliate claims and/or incident submissions to ARMS and/or independent insurance administrators. Other duties as assigned by President/CEO.
Qualification and Experience
Qualifications: A JD Degree is required. 10+ years work experience in the majority of areas relevant to: corporate compliance and governance, board governance, healthcare regulatory law, medical professional liability management, civil litigation, healthcare compliance, Federal and State protected health information regulations, organizational risk management, patient safety processes, and enterprise risk management.
Requisition Number: 17-0075