Evaluate effectiveness of departmental operations at least annually and make changes and recommendations as appropriate.
Identify potential areas of compliance vulnerability and risk; in cooperation with appropriate company leaders, develop/implement corrective action plans for the resolution of problematic issues, and provide general guidance to management on how to avoid or mitigate similar situations in the future.
Perform initial and periodic information privacy risk assessments and conduct related ongoing compliance monitoring activities in coordination with Formativ’s operational assessment functions.
Establish a mechanism to track access to protected health information (PHI) within the purview of the organization and as required by law to allow only qualified individuals to review or receive a report on such activity.
Participate in the development, implementation, and ongoing monitoring of all Business Associate Agreements, to ensure all privacy concerns, requirements, and responsibilities are successfully addressed on a timely basis.
Work with all colleagues involved with any aspect of release of protected health information to ensure full coordination and cooperation under Formativ and client policies and procedures as well as federal and state laws governing release of patient information.
Review, maintain and profile all incident reports submitted by colleagues.
Establish and administer a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization’s compliance, and privacy policies and procedures in coordination and collaboration with other similar functions.
Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and timely resolution. Consult and liaise with Formativ’s Independent General Counsel as required to resolve more difficult legal compliance issues.
Ensure compliance with compliance policies, privacy policies, procedures and practices.
Ensure consistent and timely application of sanctions for failure to comply with such policies, procedures and practices for all colleagues, contractors, business associates, and other third parties as appropriate in cooperation with Human Resources, management and Independent General Counsel.
Liaise with relevant parties in any compliance reviews or investigations.
Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or as required.
Develop on a yearly basis a Corporate Compliance Audit/Review Schedule delineating the areas identified for Audit/Review based on the strategic objectives established in the Annual Corporate Compliance Plan & System Risk Matrix.
Develop appropriate quarterly and annual compliance reports as needed, including reviews of audit activity detailing recommendations, and quarterly reports to summarize compliance activities
Organize, oversee and participate in organization-wide Quality Improvement/Risk Management programs and related activities
Work with relevant parties to ensure that Formativ has and maintains appropriate privacy and confidentiality forms, information notices, and materials reflecting current organization and legal practices and requirements.
Oversee, direct, deliver and ensure delivery of initial and ongoing compliance and privacy orientation and training to all colleagues, contractors, and other third parties as appropriate.
In cooperation with the IT department, review all system-related information security plans throughout the organization to ensure alignment between security and privacy practices; act as a liaison to the information systems department.
Coordinate, organize and distribute new and updated policies and procedures related to all other corporate functions.
Identify, develop, and maintain compliance, and privacy policies and procedures for the corporation and its Colleague populations.
Monitor provider gift giving regulations (including contests, trade show raffles and other) as well as FDA labeling for health information technology solutions. Determine impact, develop written policies, and educate internal parties on behavioral and semantic/language adjustments that are required.
Review contracts for marketing programs that may have entertainment implications to ensure compliance standards are met.
Collaborate with and serve as a resource to Marketing; participate in thought leadership activities (white papers, webinars, speaking engagements, compliance alerts, etc.) that are generated by Formativ marketing and otherchannels, including hot issues, business drives and compliance issues top of mind for our customers and prospect.
Bachelor’s degree and RHIA Certifications required.
Experience in a compliance role in a healthcare provider setting or healthcaretechnology company.
Experience working within a private, for-profit company.
Ability to collaborate and interact with all levels both internally and externally at the company, including senior management, Board of Directors, client compliance Officers, client management, and vendors.
Ability to blend compliance requirements with practical business objectives.
Ability to travel within the USA approximately 20-25% of the month.
Ability to understand in-house developed systems and identify risks, and to prioritize multiple tasks and meet deadlines with minimal supervision.