Chief Compliance and Privacy Officer (Healthcare)

The Chief Compliance and Privacy Officer oversees the corporate Compliance and Privacy programs. This leadership position is responsible for general oversight of compliance teams to ensure senior leaders, management, team members, comply with the rules and regulations of the Centers for Medicare and Medicaid Services (CMS) as well as other regulatory agencies.

The Chief Compliance Officer, together with the Enterprise Compliance Committee, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program.

• Oversees the day-to-day functions of the corporate compliance and privacy programs
• Review all company compliance and privacy related policies to ensure Convey is meeting requirements with regulatory guidelines
• Creates and implements new compliance and privacy policies and procedures in response to regulatory changes and external reviews
• Reviews all updated CMS Chapters and creates training on revisions and changes
• Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution
• Manages all required breach determination and notification processes under HIPAA and applicable State breach rules and requirements
• Create and monitor Business Associate Agreements to ensure that all Business Associates are maintaining privacy requirements and responsibilities
• Reviews all client contracts from a compliance perspective

Qualifications/Requirements

• 10+ years’ experience in the Medicare managed care and/or pharmacy benefit management environment Understanding of all applicable CMS Medicare
• Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company and client related business

Education:

• A Bachelor’s degree required; Master’s preferred
• Compliance Certification and Healthcare Privacy Certification required
• Knowledge and experience in state and federal information privacy laws

All your information will be kept confidential according to EEO guidelines.