Director of Compliance & Privacy Officer

Community Healthlink - Worcester, MA

Full-time
Come join a friendly and diverse team that provides quality support to more than 80 programs! Community Healthlink (CHL) is looking for a full-time (37.5 hrs/wk) Director of Compliance & Privacy Officer in Worcester, MA.

Community Healthlink is committed to promoting, restoring, and maintaining the physical health, mental health and dignity of adults, children and families in Central Massachusetts who are experiencing mental illness, addiction or homelessness. Community Healthlink’s services are grounded in the principles of recovery and the belief that every person has the right to choose his or her own recovery path.

Community Healthlink is a proud member of UMass Memorial Health Care, the largest not-for-profit health care system in Central Massachusetts, and is a clinical partner of the University of Massachusetts Medical School.

Under the supervision of the Vice President of Operations, the Director of Compliance will lead a comprehensive approach to compliance planning, and identifying challenges. As the Director of Compliance you will execute compliance activities, and utilize metrics to assure that goals and objectives are being met as well as identify and implement strategies to eliminate challenges or barriers that could hinder successful execution of compliance activities.

Benefits:
Compensation based on education and related work experience, licensure and other qualifications
Health and Dental insurance (available upon starting)
Generous paid sick, personal, holiday, and vacation time
Life and Disability insurance
401k with agency contribution
Wellness activity discounts
Work related travel reimbursement

Responsibilities
Engages agency leadership in all compliance processes and activities to ensure that strategic objectives are well understood in order to deliver targeted results and strategic initiatives.
Develops, refines, and implements a robust and comprehensive agency-wide compliance plan and reports on the execution of the plan.
Provides day-to-day compliance expertise to all levels of management in different business areas and remains abreast of activities implicating all aspects of business compliance.
Identifies potential areas of business and clinical compliance vulnerabilities and provides guidance on risk mitigation.
Establishes and maintains relationships and networks with programs, departments, individuals and entities that interact with the Compliance Department.
Works collaboratively with program managers, department directors, HR Department, Legal Department, committees and other functional areas within the agency to ensure that appropriate actions are taken to implement strategic and operational initiatives.
Works collaboratively with State and Federal entities to facilitate communication of regulatory matters and emerging policies.
Oversees and evaluates investigation activities and provider credentialing activities.
Evaluates investigation data, provides summary of findings and recommends mitigation activities.
Participates in different internal and external committee meetings including but not limited to the Operations Committee, CPO Committee, Board Audit and Compliance Committee, Safety Committee and Human Rights Committee.
Collects data and statistics of monthly compliance activities.
Generates reports on Compliance activities, challenges, and risks.
Assists agency leadership in identifying and researching the impact of new regulatory on agency programs and departments.
Ensures agency compliance with emerging State and Federal policies regulations.
Coordinates, assists and facilitates internal and external compliance related audits.
Oversees, follows-up and implements corrective action to investigations and other issues generated by the compliance program and/or external audits.
Works closely with the Quality Management Department on ongoing audit initiatives.
Creates, maintains and updates compliance logs, activities and produces meaningful reports.
Work closely with the Legal Department on resolving and clarifying matters that pertain to all business aspects.
Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with organization management and administration.
Performs initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities.
Works with management, key departments, and committees to ensure the organization has and maintains appropriate privacy and confidentiality consent, authorization forms, and information notices and materials reflecting current organization and legal practices and requirements.
Oversees, and ensures delivery of privacy training and orientation to all employees, volunteers, medical and professional staff, contractors, alliances, business associates, and other appropriate third parties.
Participates in the development, implementation, and ongoing compliance monitoring of all trading partner and business associate agreements, to ensure all privacy concerns, requirements, and responsibilities are addressed.
Supervises and supports the HIM Director in overseeing patient rights to inspect, amend, and restrict access to protected health information when appropriate.
Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization’s privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel.
Ensures compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the organization’s workforce, extended workforce, and for all business associates, in cooperation with Human Resources, the information security officer, administration, and legal counsel as applicable.
Works with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements
Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance.
Serves as information privacy consultant to the organization for all departments and appropriate entities.
Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations.Works with organization administration, legal counsel, and other related parties to represent the organization’s information privacy interests with external parties (state or local government bodies) who undertake to adopt or amend privacy legislation, regulation, or standard.
Supervise the Compliance Department including Compliance Coordinator, Auditor, Investigator and the Director of Health Information Management.
Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors.

Qualifications
MUST HAVE healthcare compliance experience.
Healthcare compliance and/or privacy certifications (e.g., CHC, CHPC) is HIGHLY DESIRED.
Minimum of a Bachelor Degree in Social Work, Nursing, Mental Health Counseling, Healthcare Management or a related field along with 5 years of experience in leading compliance department/initiatives in a behavioral health, substance abuse, community health center, outpatient or inpatient setting required.
Master's Degree in Social Work, Nursing, Mental Health Counseling, Healthcare Management or a related field of study along with 3 or more years of experience in leading compliance department/initiatives in a behavioral health, substance abuse, community health center, outpatient or inpatient setting, preferred.
Experience with computer technology, including Microsoft Office and clinical databases.
Experience in meeting deadlines and adhering to strict standards.
Proven knowledge of healthcare auditing, corrective action, and quality improvement with emphasis on regulatory requirements.
Track record of developing compliance plans, policies and procedure and utilization of metrics to measure desired outcomes.
Knowledge of Substance Abuse and Mental Health treatment systems is a highly desired.
Demonstrates excellent oral and communication skills, professional writing, and public presentation skills.
Communicates effectively with all levels of the agency from staff to executive leadership
Ability to work independently to identify areas of concern and effectively problem solve and develop solutions.
High level of accuracy and attention to details.
Must be able to pass a CORI (Criminal Offender Background Check) and a an DCF/CPS (Department of Families Adam Walsh/Child Protective Services background check)
Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.