Chief Compliance and Privacy Officer in Allston, MA

$250K - $500K(Ladders Estimates)

  •  

Allston, MA 02134

Industry: Healthcare

  •  

11 - 15 years

Posted 54 days ago

  by  recruiter-profile-pic  Makeda Lord

Chief Compliance and Privacy Officer

The Chief Compliance and Privacy Officer implements an

effective compliance program promoting the highest

standards for supporting caregivers and their families on

behalf of government and managed care organizations while

providing expertise, consultation, and assessments in

matters related to compliance, audit, and risk. S/he provides

leadership and oversight of compliance and privacy

programs, including leading continuous improvement

activities. This individual works collaboratively with

departmental leadership to ensure that all employees

understand and are in compliance with relevant state and

federal regulations, contractual requirements, Code of

Conduct and related policies and procedures. S/he monitors

and reports compliance and privacy efforts as well as

company results to the CEO, Board, and senior

management teams. This individual also serves as key

contact with external oversight agencies and auditors and is

the primary point of contact with such agencies and

individuals.

Description:

• Oversight for the development and implementation of

Compliance and Privacy Programs including development

and implementation of a Compliance Plan, monitoring,

reporting, and continuous improvement.

• Oversight for the regular auditing of business processes to

ensure compliance with policies, regulations, contracts,

procedures and laws; serve as primary contact for external

audits, including federal and state audits.

• Act as an independent reviewer to ensure that compliance

issues and concerns within the organization are being

appropriately evaluated, investigated and resolved. Monitors

for related trends and develops and leads implementation of

interventions to mitigate risks.

• Receive and respond to reports or allegations of unethical or

improper conduct or business practices, including by

conducting investigations independently or in coordination

with qualified legal counsel, or by delegating the

responsibility for conducting an investigation to other staff,

and implement and monitor appropriate corrective action and

subsequent compliance.

• Report information on the activities of the Compliance

Program to the Compliance Integrity Committee of the Board

of Directors on a quarterly basis. Co-facilitate Quality,

Integrity, and Compliance Committee meeting with executive

staff on a quarterly basis.

• Oversight for the development and annual review of policies

relating to corporate compliance; stays current on changes

in federal and state policy as well as emerging trends in the

regulatory market and provides strategic direction to the

leadership team.

• Manage all caregiver, consumer, and employee complaints

concerning privacy and policy breaches as well as cases of

suspected fraud and abuse; includes tracking, investigation,

response, and reporting; develops and oversees a system

for uniform handling.

• Provide management of internal and external compliance

hotlines.

• Develop, coordinate, and lead a training program, updated

annually, that focuses on the components of the Compliance

program and seeks to ensure that all individuals (e.g. Board

members, employees, caregivers) are knowledgeable of,

and comply with, pertinent standards and Compliance

Program including adherence to the code of conduct

Valid Through: 2019-10-21