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 implements and leads key functions of Conifer’s Ethics and Compliance program which will include but not be limited to Privacy and Monitoring and Oversight. The Senior Director of Compliance and Privacy is singularly responsible for the success of his/her 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 his/her peers to develop Conifer’s Annual Compliance Work Plan that will address the OIG Work Plan, organizational compliance risk, and other compliance best practices. The purpose of the Work Plan is to protect Conifer’s best interests and advance business objectives from a compliance perspective.
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 Conifer’s Code of Conduct.
Essential Duties And Responsibilities
Include the following. Others may be assigned.
- Develops and leads a risk-based compliance monitoring strategy in consultation with other Conifer’s Ethics and Compliance programs leaders
- As the primary privacy compliance program leader:
- Partners with leadership to lead buildout of a strategic and 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.
- Ensures privacy policies, job aids, and forms are up-to-date.
- Serves as a liaison to client privacy contacts.
- Works with applicable members of organizational leadership to establish governance for the privacy program.
- Develops and facilitates the administration of all privacy training and awareness activities within the organization.
- Functions as the lead organizational resource for 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.
- Leads high profile privacy investigations and supports compliance officers who perform other privacy investigations.
- Oversees the successful implementation of compliance and corrective action strategies designed to reduce organizational compliance risk.
- Strategically addresses and escalates key compliances risks to the Chief Compliance Officer, Executive Team and, when applicable, the Board of Managers to ensure organizational accountability.
- Consistently interacts with key operational leaders to foster a culture of compliance throughout the organization.
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense)
- 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.
- Direct Reports: Compliance Managers; Senior Compliance Analysts; Compliance Analysts
KNOWLEDGE, SKILLS, ABILITIES
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.
- Skilled in interpersonal relations with the ability to interface at all levels.
- Ability to build and maintain team’s dynamics so as to achive 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
- Strong analytical abilities
- Familiarity with broad regulations and standards over healthcare and regulations and standards specific to area(s) of responsibility
- Extensive working knowledge of accounting and auditing standards, if applicable to assigned function
- Strong risk management process and risk assessments 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.
- Bachelor’s degree required, Master’s degree preferred
- At least five (5) years of demonstrated leadership skills and experience in compliance management (or equivalent consulting experience) for a large healthcare organization preferred
- Strong people management and good communication skills are essential
- Problem solving and statistical analytics/reporting skills, including minimum intermediate proficiency in Excel or related database programs
- Demonstrated leadership skills and experience
Include minimum certification required to perform the job.
- Preferred: Certification in Healthcare Compliance (CHC) and Certification in Healthcare Privacy (CHPC)
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.
- Frisco-based required
- 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 applicant’s or employee’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.
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