As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
The Senior Director of Compliance and Privacy optimizes, implements and leads key functions of Coniferâ��s Ethics and Compliance program which will include but not be limited to Investigations and Privacy Compliance. The Senior Director of Compliance and Privacy is singularly responsible for the success of their functions within the Ethics and Compliance Program. The position assures compliance with applicable state, federal, and international regulations as well as professional guidelines. The Senior Director of Compliance and Privacy will work in collaboration with their peers to develop Coniferâ��s Annual Compliance Work Plan that will address the OIG Work Plan, existing and emerging organizational compliance risk, and other compliance best practices.
The position is responsible for developing and maintaining a program within Conifer to demonstrate a culture of compliance through understanding and compliance with Federal, State, and International laws and regulations, professional standards, non-Federal payer policies, and Coniferâ��s Code of Conduct.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following. Others may be assigned.
Oversees the compliance investigations team:
Optimizes investigation processes to ensure efficiency, minimize organizational risk, and promote client satisfaction
Escalates high risk matters, as appropriate, to the Chief Compliance Officer, Client Delivery, Compliance & Audit Committee, and Board of Managers
Proactively monitors compliance matter metrics to address high risk trends and or compliance culture deficiencies
Facilitates proactive client compliance outreach to ensure a mutually agreed upon approach to managing relevant compliance risks with their organizations
In collaboration with Compliance Leadership team members, ensures appropriate compliance risk management occurs during the prospective and new client due diligence and integration efforts
As the primary privacy compliance program leader:
Partners with leadership to optimize a comprehensive privacy program that defines, develops, maintains and implements policies and processes that enable consistent, effective privacy practices which minimize risk and ensure the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.
Serves as a partner to client privacy leadership.
Works with applicable members of organizational leadership to ensure appropriate governance for the privacy program.
Facilitates the risk-based development and administration of all privacy training and awareness activities within the organization.
Functions as the lead organizational subject-matter expert for data privacy compliance
Cooperates and/or partners with the U.S. Department of Health and Human Service's Office for Civil Rights, State regulators and/or other legal entities in any compliance reviews or investigations.
Reviews and monitors compliance with Business Associate Agreeements and Sub-Contractor Privacy Agreements
Leads high profile privacy investigations and supports compliance officers who perform other privacy investigations
Understands and implements appropriate controls to address not only HIPAA but other relevant international and state privacy laws
Prepare annual departmental budget specific to area of responsibility and manage to the approved budget throughout the fiscal year
Reviews and approves expense reports for direct reports.
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Strong analytical abilities and attention to detail
Strong understanding of compliance program requirements and the role of risk in building a program
Skilled in interpersonal relations with the ability to interface at all levels.
Ability to build and maintain teamâ��s dynamics so as to achieve consistent collaboration throughout the Ethics and Compliance department
Ability to develop individuals
Serve as a resource to Conifer and client contacts
Excellent communicator, including verbal, written, and listening skills
Team-oriented, with an ability to value a diverse and geographically dispersed team
Familiarity with broad regulations and standards over healthcare and regulations and standards specific to area(s) of responsibility
Strong risk management process and risk assessment skills
Maintaining confidentiality of information and materials
Ability to identify, evaluate, and select technology solutions to further benefit the effectiveness of the Ethics and Compliance Program
A strategic thinker with the ability to successfully execute a vision
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
Masterâ��s degree in relevant field or Juris Doctorate required
5-10 years of demonstrated leadership skills and experience in compliance program building and management (or equivalent consulting experience) for a large healthcare provider or healthcare service organization required
2-5 years demonstrated experience working in a global organization preferred
Experience with client relationship management preferred
Strong people management, attention to detail, and communication skills are essential
Include minimum certification required to perform the job.
Required: Certification Information Privacy Professional â�� US (CIPP-US) or Certification in Healthcare Privacy (CHPC)
Preferred: Certification in Healthcare Compliance (CHC); Certified Compliance and Ethics Professional (CCEP)
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Ability to travel
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work Environment
Approximately 25% travel may be required
Job: Managers and Directors
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105004737
About Conifer Health Solutions
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.