Director-compliance And Privacy Investigations

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Director-Compliance and Privacy Investigations
Duties: Responsible for the team that has oversight of general corporate compliance activities, communication and education, HIPAA privacy, investigations and breach reporting, trustee and officer conflicts of interest, exclusion screening, and business associate agreements. Oversee monthly exclusion screening process and continuously work with other departments (e Supply Chain Management, MCIT) to fine tune and otherwise enhance the efficiency of the process. Establish and administer all HIPAA privacy related requirements, including policies and procedures, patient rights, privacy related complaints, investigations, breach reporting as the designated HIPAA Privacy Officer for the Organized Health Care Arrangement and all HIPAA Covered Entities and business associates therein. Work with and directly oversee the Compliance and Privacy team to administer the process for receiving, documenting, tracking, analyzing, investigating, and responding to questions and reports of privacy and compliance concerns, in coordination and collaboration with other department functions (e.g., Billing and Research Compliance), and in compliance with federal and state laws and regulations, including the HITECH Breach Notification Rule and state breach notification laws. Serves as primary contact with the Office for Civil Rights and State Attorney Generals regarding breach notification, patient complaints, and follow-up as needed. Oversee the patient notification process and any associated call teams set up to address patient questions and complaints in response to breach notification. Work with key areas at Health such as legal counsel, senior management, and finance to ensure Health has and maintains appropriate privacy and confidentiality consents, authorization forms, and information notices (e.g., Notice of Privacy Practices) and related materials reflecting current organization, best practices, and legal requirements. Serves as the subject matter expert to all workforce members and functions across the organization, including bto the Institutional Review Board and the Health Information Management Department, on privacy laws, regulations, and best practices. Participates in appropriate Health forums and/or committees to ensure HIPAA/Privacy compliance. Oversee proactive efforts to ensure patient privacy and Health compliance, including but not limited to privacy rounds, Data Loss Prevention and monitoring, electronic access monitoring, and education and training, including annual training, additional department or topic specific training, and corrective educational follow- ups. Review all system-related information security plans throughout Health to ensure alignment between security and privacy practices and act as a liaison to the information systems department. Negotiate and manage business associate agreements and take steps to ensure business associates are aware of the organization’s privacy and security policies and procedures, in conjunction with legal counsel. Maintain an awareness and current knowledge of laws and regulations, keeping abreast of current changes that may affect healthcare systems through personal research, seminars, training programs, and peer contact. Support the VP with responsibilities related to the Health System Audit and Compliance Committee, including meeting preparation, minutes, and drafting documentation.

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