Compliance & Privacy Partner

Responsibilities

• Develop and maintain strong, collaborative relationships with key stakeholders across different departments (e.g., clinical operations, finance, IT, marketing) to understand their business objectives and integrate compliance considerations into their strategies and processes.
• Serve as a primary point of contact and a recognized expert on healthcare compliance matters, including but not limited to: HIPAA privacy, security, and breach notification rules. Anti-Kickback Statute (AKS) and Stark Law. False Claims Act (FCA). Medicare and Medicaid regulations. Fraud, Waste, and Abuse (FWA) prevention. State-specific healthcare regulations. Professional practice standards and ethics.
• Proactively identify, assess, and analyze potential compliance risks within assigned business areas. Develop and implement effective mitigation strategies, action plans, and monitoring processes to minimize these risks.
• Collaborate with relevant departments to develop, implement, and maintain clear, concise, and up-to-date compliance policies, procedures, and guidelines. Ensure these documents are easily accessible and understood by employees.
• Design and deliver engaging and effective compliance training programs and educational materials for employees at all levels. Promote awareness of compliance obligations, ethical standards, and reporting mechanisms.
• Conduct regular compliance monitoring activities and internal audits to assess adherence to policies, procedures, and regulatory requirements. Identify areas for improvement and recommend corrective actions.
• Lead and support internal investigations of potential compliance violations. Collaborate with Legal and other relevant departments to develop and implement appropriate corrective and preventative actions.
• Communicate compliance-related information, updates, and best practices to stakeholders. Prepare and present regular reports on compliance activities, risks, and trends to leadership.
• Stay abreast of changes in healthcare laws, regulations, and industry best practices. Analyze the impact of these changes on the organization and recommend necessary adjustments to compliance programs and practices.
• Serve as a liaison between the business units and the central Compliance department, facilitating communication, coordination, and collaboration on compliance initiatives.

Requirements

• Bachelor’s degree required in healthcare administration, business administration, law, or a related field.
• CHC certification is required (within 12 months of hire date).
• Minimum 4-5 years of progressive experience in healthcare compliance, preferably within a healthcare setting (e.g., hospital system, physician practice).
• In-depth knowledge and understanding of relevant healthcare laws, regulations, and industry standards (as listed in the Responsibilities section).
• Strong analytical, problem-solving, and risk management skills.
• Excellent written and verbal communication, presentation, and interpersonal skills.
• Ability to build trust and rapport with stakeholders at all levels of the organization.
• Demonstrated ability to work independently, manage multiple priorities, and meet deadlines.
• Proficiency in using Microsoft Office Suite and compliance management software (e.g., SAI360, Convercent and SanctionCheck).
• High level of integrity, ethics, and professional judgment.

Qualifications

• Master’s degree preferred.
• Experience working with [specific healthcare software or systems] (preferred).
• Familiarity with process improvement methodologies (preferred).
• Experience in developing and delivering online training modules (preferred).