The Director of Compliance & Privacy is responsible for the development, implementation, and oversight of a comprehensive, organization-wide compliance and privacy program. This role serves as the Corporation's primary resource for compliance-related matters and ensures the organization meets all applicable federal and state healthcare laws and regulations while promoting a culture of ethics, accountability, and transparency. This position is tasked with identifying and mitigating regulatory risks, overseeing compliance education and reporting systems, and integrating compliance practices into daily operations.
Qualifications:
- Bachelor's degree in healthcare administration, Business, Legal Studies, or related field is required. Master's degree is preferred.
- Certified in Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC), or similar credential preferred.
- Five (5) years of experience in healthcare compliance, audit, risk management, legal, quality, with at least 2 years of relevant Director-level experience, substitutable by relevant professional certifications and/or experience.
Primary Duties and Responsibilities:- Develop, implement, and maintain Grande Ronde Hospital's Compliance and Privacy Program, including policies, procedures, and the Code of Conduct, ensuring alignment with legal, regulatory, and ethical standards.
- Lead regular compliance risk assessments, identify regulatory risks across all departments and service lines, prioritize mitigation strategies, and monitor the effectiveness of the Compliance Program.
- Communicate critical compliance concerns to the CEO and provide regular reports to the CEO and Board of Trustees, outlining program effectiveness, key risk areas, corrective actions, and relevant regulatory updates.
- Oversee and direct investigations into compliance and privacy concerns, manage responses to external audits or inquiries, and lead the development and implementation of corrective action plans.
- Provide strategic oversight of organization-wide education on compliance, privacy, and regulatory requirements; collaborate with the Education Department to ensure development and effective dissemination of mandatory training to all employees, affiliates, and contractors in alignment with legal and organizational standards.
- Maintain oversight of Business Associate Agreements (BAAs), ensuring their implementation, annual review, and compliance with legal and organizational requirements; review contracts as requested to assess alignment with applicable regulations and business objectives.
- Establish and maintain comprehensive internal controls to prevent and detect illegal, unethical, or improper conduct, including conflicts of interest, business courtesies, fraud, waste, abuse, and other critical healthcare compliance risks across employees, contractors, and affiliated providers, ensuring compliance with relevant laws and regulations.
- Promote a culture of compliance, ethics, and accountability by maintaining accessible and anonymous reporting mechanisms, ensuring employees can report concerns without fear of retaliation; oversee the investigation of reported issues and collaborate with HR to support consistent, fair disciplinary action for instances of noncompliance.
- Continuously monitor and interpret evolving laws, regulations, technology, and industry trends; advise leadership and staff accordingly, ensuring integration of compliance standards into organizational policies, procedures, and operational workflows.
Skills and Abilities: - Communicate effectively in writing, speaking, and presenting education to a varied audience.
- Collaborate with single or multiple disciplinary teams promoting quality healthcare in compliance with federal, state, county, and hospital laws, regulations. and policies.
- Courage and ethics in daily operations and execution of investigation and sensitive information.
- Mentor and coach new managers and employees in corporations' compliance programs and plans.
- Strong analytical and problem-solving abilities along with excellent presentation and education skills.
Physical Demands and Work Environment:- Occasional lifting and carrying of materials weighing up to 25 pounds.
- Able to sit for extended periods (up to 8 hours per day), and frequently stand, walk, bend, squat, reach, and stretch throughout the workday.
- Requires frequent use of a computer and standard office equipment, including extensive use of hands and fingers for typing, document handling, and data entry.
- Must be able to perform the primary duties and responsibilities of the job with reasonable accommodation.
Compensation: $55.82-$76.96Benefits - Health Insurance
- Vision Insurance
- Dental Insurance
- Flexible Spending Account (FSA and Health Savings Account (HSA) Options
- 401K Plan with Roth Options
- 401K 3% employer match and a 2% base non-elective employer contribution
- Eligibility for company-paid benefits such as life insurance and long-term disability, subject to applicable waiting periods
- Option to elect Supplemental employee, spouse, and child life insurance
- Paid Time Off (PTO)
- Access to the Employee Assistance Program
- Discounts: available for meals in the cafeteria and over-the-counter pharmacy items
- Exercise/Fitness Facility: access to the Rehab Therapy Fitness Center for the employee and dependents
Expectations for All EmployeesSupport the organization's mission, vision and values by adhering to the behavioral standards of Grande Ronde Hospital. Comply with all laws and regulations affecting Grande Ronde Hospital. Be familiar with and adhere to the Personnel Policy Manual and the Code of Conduct and support the Grande Ronde Hospital Compliance Program. Effective communication skills and the ability to work effectively with people from various backgrounds are critical.
