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Organization TypePublic Interest
Date Last Verified
Years of Experience
ProfileCompliance Manager Duties: Reporting to the Corporate Counsel, and working in close collaboration with senior leaders across the enterprise, the Compliance Manager will be responsible for developing, implementing, updating, and tracking organizationâ€™s compliance plan, policies, and procedures. Will also assist in developing and implementing compliance training, monitoring and auditing programs. In addition, this position will be responsible for the Corporate Counsel and Compliance Officer in conducting investigations into alleged or potential policy violations. An essential function of this position is to help ensure that organization meets its legal, regulatory and compliance obligations, complies with its own policies and procedures, and abides by its high ethical standards. Works with legal counsel and management, key departments and committees to ensure the organization maintains appropriate privacy and confidentiality practices and requirements. Provides assistance with oversight and monitoring activities of the compliance and privacy programs and assists the Compliance Officer and Corporate Counsel in conducting regular program reviews in order to propose modifications, if necessary, to prevent illegal, unethical, or improper conduct. Provides development guidance and assists in the identification, implementation, and maintenance of the organization's corporate compliance and privacy policies and procedures in coordination with organization management and administration, the Compliance Officer and Corporate Counsel. Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning general compliance and privacy policies and practices; provides assistance and oversight for investigations on all complaints concerning compliance and privacy policies and practices, investigates and evaluates suspected breaches, sends notification letters when required, and working with legal counsel and submits required reports to OCR or other regulatory agencies. Performs initial and periodic information audits and conducts related ongoing compliance monitoring activities related to access to PHI in coordination with the entity's other compliance and operational assessment functions. Together with legal counsel and operations management, works to ensure that the organization has and maintains appropriate privacy and confidentiality consent, authorization forms, and information notices and materials reflecting current organization and legal practices and requirements. Together with legal counsel, is responsible for ensuring compliance with the Business Associate Agreement requirements and ensuring that all Business Associates execute and comply with updated BAAs. Oversee, direct and deliver, or ensure delivery of initial and ongoing general compliance and privacy training and orientation to all employees, volunteers and professional staff. Coordinate with regulatory agencies when requested and assist compliance program management and administration in compliance reviews, audits and investigations. Initiate, facilitate, and promote activities to foster general compliance and information privacy awareness within the organization and related entities. Serve as a member of or a liaison to, the organization's IRB, Data Privacy and Security Committee, Investigations and Audit Committee, or other committees and meetings that exist to promote and foster compliance. Maintain current knowledge of applicable federal and state privacy laws and regulations. Develops agendas, track follow-up action items and staff and/or attend various committee meetings, including the Data Privacy and Security Committee, Investigations and Audit Committee, as well as monthly Compliance Officer and Corporate Counsel meetings.
Qualification and Experience
Requirements: Bachelor's degree required. Master's degree or law degree desired. 3 years of related work experience required. Knowledge of healthcare operations with at least 3 years previous experience in healthcare compliance, privacy or regulatory enforcement. Excellent communication, interpersonal, and organization skills; ability to prioritize and meet deadlines; strong analytical skills. Must be able to prepare and present to diverse audiences. Advanced skills with Microsoft applications, including Outlook, Word, Excel, PowerPoint or Access, as well as other web-based applications. Ability to make decisions with significant, broad implications for the management and operations of the Compliance and Privacy Program. Ability to demonstrate broad and comprehensive knowledge or theories, concepts, practices and policies with the ability to use them in complex situations across multiple functional areas.
Franciscan Hospital for Children
30 Warren Street
Brighton, MA 02135