The Vice President and Chief Compliance, Privacy and Internal Audit Officer will serve as the Chief Compliance and Privacy Officer for the CarePoint Health System, which is comprised of three acute care hospitals, and related corporate and professional entities. This position is responsible for organizing, managing and directing the system-wide compliance, privacy and internal audit/ program designed to ensure CarePoint Health and its divisions, subsidiaries and affiliates (herein referred to as entities) fully comply with CarePoint Health’s Standards of Conduct (Code of Business Conduct and Ethics) and all applicable laws and regulations. The responsibilities include participating in issue resolution processes; conducting, coordinating or directing activities related to the investigation of compliance and HIPAA privacy issues; providing ongoing compliance and HIPAA privacy training/education to employees; and conducting and overseeing audit/investigation activities related to such areas as compliance, hospital operations, health plan operations, HIPAA privacy, finance, facility and professional billing, etc. This position will be responsible for the corporate risk assessment and annual work plan development, developed with reference to the OIG Annual Work Plan and system-specific priorities.
The Vice President and Chief Compliance, Privacy and Internal Audit Officer is primarily responsible for promoting a corporate culture that fosters ethical and compliant behavior and provides the basis for ensuring adequate internal controls and compliance with all laws and regulatory requirements applicable to CarePoint Health and all of its entities.
The Vice President and Chief Compliance, Privacy and Internal AuditOfficer functions in an independent and objective manner, and reports on routine matters to the System CEO and the General Counsel, and also has direct line reporting to the CarePoint Health System Board of Directors (comprised of three owners and one independent director) on both routine and non-routine matters..
administers, updates, monitors and oversees a comprehensive, uniform corporate compliance program for CarePoint Health and its entities in support of Federal guidance regarding the elements of effective compliance programs. Collaborates with In-House Counsel to ensure that all legal requirements are included in the program process.
Directs the activities of compliance and internal audit/special investigation unit staff, in consultation with internal and external counsel.
Provides regular education and training to entity staff regarding the corporate compliance program and related federal and state laws and regulations.
Designs, administers, updates, monitors and oversees a comprehensive, uniform HIPAA Privacy program for CarePoint Health and its regions. Works with Information Technology to ensure the development and implementation of the organization-wide information security management plan.
Reports on a regular basis to the Board of Directors, and the CarePoint CEO and General Counsel, and to the CarePoint Executive Management team and to entity leadership (Chief Hospital Executives and Chief Medical Officers) as needed.
Responsible for the selection, professional development and retention of system corporate compliance program and staff, Internal Audit staff and Special Investigation Unit staff.
Advises and provides oversight and consultation services to system and entity leaders on compliance and privacy matters and investigations.
Maintains expert working knowledge of and disseminates relevant laws and regulations, including investigative and enforcement activities affecting the healthcare industry.
Participates in the visioning and strategic identification of new enterprise risk advocacy, legal, risk management, audit and other related parties and represents the organization’s interests with external parties (state or federal government agencies) who adopt or amend legislation, regulations, or standards with the collaboration of In-house Counsel
Participates in professional industry groups and development opportunities to further the effectiveness corporate compliance committee and lend voice to regulatory and legal compliance matters.
Graduate Degree in Hospital Administration, Finance, Law, Accounting, Health Services Management, Information Management, or Business required.
Certification in Compliance preferred.
Experience in HIPAA Privacy rules required.
Experience (required and preferred)
Eight (8) or more years of progressive leadership experience in health care compliance, internal audit direction, HIPAA privacy; with a minimum of 5 (five) years leading health system level corporate compliance programs.
Demonstrated high level of practical experience in a complex, multi-function, multi-entity environment with competencies in system program planning, management and supervision.
Demonstrated ability to lead effectively in a diverse system.
Ability to work in a collaborative environment, promoting an open-door department