Manager Regulatory Compliance - Mt Sinai Health System- FT- Hybrid- Days

About the role

The role involves implementing and monitoring a comprehensive Compliance Program for the Mount Sinai Medical Center. Directly works with the Vice President of Compliance and the Chief Compliance Officer in managing work plans, educational activities, and audit programs.

Responsibilities

• Evaluates and identifies areas of risk and appraises their significance in relation to the assigned environment, keeping Compliance leadership informed of these developments on a timely basis.
• Reports findings and makes recommendations to correct unsatisfactory conditions and improve the overall risk profile.
• Investigate or oversee investigations into privacy incidents, data integrity issues, breaches, and unauthorized disclosures of PHI.
• Maintain relationships and foster partnerships with colleagues, management, faculty, and staff.
• Support responses to government audits, investigations, and accreditation reviews.
• Assist with data governance and records management initiatives.
• Monitor regulatory updates and recommend policy or operational changes.
• Assists Vice President of Compliance / Chief Compliance Officer with the priority rankings of initiatives identified within the Compliance work plan.
• Manages the implementation of work plan initiatives and audit programs, and facilitates the identification and dissemination of Best Practices.
• Prepares conclusive findings and related reports to leadership.
• Aids Compliance Directors with the development and implementation of a formalized oversight program for tracking Mandatory Reporting Regulatory Communications.
• Plans audit and monitoring engagements; prepares appropriate and comprehensive work programs, conducts research, testing, and analysis with minimal direction and supervision.
• Performs analysis of educational and monitoring activities and works with members of Compliance leadership in presenting results in a structured format to leadership.
• Ensures quality and scope of all projects meet standards as established by the Vice President of Compliance/Chief Compliance Officer, the Audit and Compliance Committee of the Board of Trustees, other organizational leadership, the Medical Centers external auditors and external regulatory bodies.
• Works on multiple projects simultaneously, ensuring completion of assignments within established time frames.
• Assumes responsibility for assigned special projects.
• Manages operational activities surrounding key institutional committees involving members of senior leadership, faculty, and Compliance leadership including, but not limited to, Enterprise Risk Management Committee, Compliance Oversight Committee, and Staff Conflicts of Interest Committee.
• Responsible for management of all applicable reporting databases.
• Assists Compliance leadership with preparation and maintenance of the Compliance Department presentation to the Audit and Compliance Committee of the Board of Trustees.
• Identifies and monitors industry developments to assess their applicability to the organization.
• Incorporates the use of automated review techniques, as applicable.
• Uses a collaborative and consultative service-oriented approach in assigned tasks and in all dealings with Medical Center personnel.
• Makes oral and written presentations, as required.

Qualifications

• Bachelor's degree required.
• Recent law school graduates will be considered.
• Master's Degree preferred (JD, MPH, MPA).
• Experience with healthcare regulatory reviews, policies, and HIPPA privacy laws is essential for this role.
• 5 years relevant business experience, preferably within a healthcare institution or other health-related service industry, or major accounting firm, or equivalent experience.