Deputy Compliance and Privacy Officer
Avalon Healthcare Solutions
full-time
Posted on:
Location Type: Hybrid
Location: Tampa • Florida • United States
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About the role
- Provide oversight and direction in the development of all aspects of the compliance program;
- Create summaries regarding, and participate in oversight of, Avalon’s contractual obligations;
- Performing (or overseeing) the drafting of new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials;
- Coordinating with relevant business partners to develop and revise business policies and ensure business policies are being appropriately enforced and monitored;
- Overseeing FDR compliance, including maintenance and completion of the Delegated Downstream Entity Compliance Attestation;
- Overseeing monthly exclusion checks, Preclusion Checks, and the preparation of associated client reporting;
- Overseeing the administration of all new hire training and annual training and various compliance related events (a compliance week) and overseeing the maintenance of records of the same
- Coordinating compliance committee meetings, drafting compliance committee decks, meeting minutes, and preparing executive summaries for the board;
- Managing Avalon’s conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the same;
- Overseeing maintenance of sanctions log;
- Overseeing/participating in Avalon’s responses to compliance and privacy audits;
- Develop audit tools, plans, and schedules, and conduct compliance readiness audits as it relates to all new business functions.
- Develop and implement risk assessment tools to identify potential deficiencies and facilitate development, monitoring, and implementation of corrective action plans.
- Serve as the compliance subject matter expert on all business functions to internal and external stakeholders;
- Serve as Privacy Officer;
- Serve as the compliance liaison with government regulators to receive any state or federal correspondence or alerts on new initiatives;
- Work across teams and departments, balancing competing objectives to accomplish goals and requirements;
- Gather and respond to all regulatory or compliance audit requests for information; and
- Use professional judgment and institutional knowledge to assess risk levels, conduct approved investigations, provide guidance on remediation planning, and prioritize remediation efforts.
Requirements
- 3+ years attorney work experience
- Bachelor’s degree and Juris Doctor.
- Expert knowledge of the Health Insurance Portability and Accountability Act (HIPAA Privacy Rules)
- 3+ years’ health care compliance and regulatory experience.
- Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans.
- Experience developing and deploying governance, risk, and compliance (GRC) systems, incident response practices; and risk assessment practices.
- Experience interpreting, summarizing, and advising business personnel regarding health care related statutes, regulations, and contractual obligations.
- Must be strong critical thinker and outstanding writer, able to explain complex issues orally and in writing.
- Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management and ability to excel in a team environment.
Benefits
- Equal opportunity employer
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
compliance program developmentpolicy draftingcompliance training materialsaudit tools developmentrisk assessment toolsgovernance, risk, and compliance (GRC) systemsincident response practiceshealth care complianceregulatory compliancecontractual obligations interpretation
Soft Skills
critical thinkingwritinginterpersonal skillsteam collaborationprofessional judgmentcommunicationoversightcoordinationproblem-solvingrelationship management
Certifications
Juris Doctor