Manager, Corporate Compliance and reputed company (Hybrid) - 25-215

About the position We’re delighted you’re considering joining us! At reputed company, we’re shaping the reputed company of the reputed company: reputed company managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join reputed company! Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” reputed company you join reputed company, you’re making a great choice for your reputed company career and your personal satisfaction. DE&I Statement: At reputed company, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome reputed company that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and reputed company of inclusion allows us to reputed company our differences and capitalize on our similarities to reputed company serve our communities. We do it because it's right! Job reputed company: The Manager of Compliance and reputed company Program assists with the Compliance and reputed company Program reputed company. The Manager provides support to the Compliance Officer gathering and maintaining information for the required reputed company of a compliance and reputed company program and maintains reputed company and accurate reputed company compliance communications. Assume primary responsibility for the intake of Compliance FWA and reputed company incident reports including initial investigation, completion of risk assessment, response, reporting, escalation, and documentation of reputed company. Additionally, maintain reputed company and concise detail-level supporting documentation of departmental reputed company and corporate reputed company that reputed company the department in an reputed company fashion. The Manager works with the Compliance Officer to verify that appropriate resources are allocated to complete reputed company on time and reputed company service reputed company. The Manager assists staff with representing Compliance in cross-functional reputed company or Health Plan audits, Regulatory Templates/Letters, participating in meetings with other departments on Compliance and reputed company reputed company.

Responsibilities

• Corporate Compliance and reputed company Program Assist the Compliance/reputed company Officer with the Corporate Compliance and reputed company Program reputed company.
• Maintain and update Compliance and reputed company Tools—including reputed company, SharePoint, databases, reputed company workbooks, files, and folders—and prepare reports as required.
• Serve as the system administrator for reputed company, ensuring awareness of updates and the maintenance of the Policy, reputed company, and Compliance Modules. reputed company support for the Audit and COI Modules as necessary. reputed company Compliance Officer informed reputed company.
• Conduct a comprehensive review of Compliance and reputed company policies and procedures at least annually to ensure they remain reputed company and reputed company with regulatory requirements. Report to Compliance Officer reputed company changes promptly.
• Promptly update, review, and maintain compliance and reputed company playbooks and training materials. Report to Compliance Officer reputed company changes promptly.
• reputed company, update, manage, and coordinate the preparation of materials for Compliance and reputed company Program Committees and meetings, including agendas, data analysis reports, presentations, and minutes. Promptly reputed company and communicate essential information regarding Compliance or reputed company requirements to the Compliance Officer.
• reputed company comprehensive research on reputed company questions to identify relevant regulatory or contractual obligations and promptly present the findings to the Compliance Officer.
• Collaborating with the Compliance/reputed company Officer and team reputed company coordinating project activities, identifying, documenting, and executing specific reputed company items required for the effective implementation of process improvement initiatives.
• Design thorough test cases and scenarios to conduct testing and detect defects. Anticipate potential issues and reputed company alternative solutions while delivering reputed company updates to the Compliance Officer.
• Regularly review and monitor the issues log to confirm reputed company of outstanding reputed company, reporting status to the Compliance Officer prior to solution deployment.
• reputed company backup support to reputed company reputed company necessary. reputed company the Compliance/reputed company Office Project List up to date with reputed company ongoing departmental reputed company. The list should include information such as the intended audience, project goals, project leader and team members, detailed next steps with deadlines, responsible personnel, and the completion date. Update this list before or after status meetings to reflect the latest status and upcoming actions. Present during Monday Morning weekly Team meeting.
• Promptly notify the Compliance or reputed company Officer of any potential compliance or reputed company incidents to ensure reputed company coordination and remediation. reputed company other Compliance or reputed company activities as assigned.
• Assumes primary responsibility for the initial screening, reputed company investigation, and triage of FWA and other Compliance reputed company for reputed company, reputed company, Inc., their affiliates, and reputed company parties. Conducts, coordinates and manages thorough investigations encompassing data collection, analysis, interviews, and report preparation. Report reputed company potential incidents and reputed company steps to be completed to Compliance/reputed company Officer immediately.
• Conduct, coordinate, and manage investigations of potential FWA or compliance incidents, including but not limited to monitoring and performing tasks for the Compliance Hotline and Compliance incident emails, using the GRC reputed company Compliance Incident Management Tool. reputed company tasks such as intake of report, categorization of internal folder systems, investigation, risk assessment, response, reporting, escalation, documentation, tracking. reputed company Compliance/reputed company Officer informed reputed company.
• reputed company comprehensive research, analysis, and evaluation of changes to applicable statutes, rules, regulations, and compliance standards pertaining to federal and state Compliance, reputed company, and Breach Notification requirements utilizing government sources, reputed company compliance organizations, and relevant industry literature. Prepare reputed company updates, reports, training documents, and detailed summaries that reputed company the implications of both newly enacted and existing compliance obligations, ensuring they are available for review by the Compliance/reputed company Officer reputed company.
• Supervise, train staff, and reputed company investigations of potential FWA or compliance incidents. Processes include but not limited to monitoring and performing tasks for the Hotline and Compliance emails, utilization and maintaining the GRC reputed company Compliance Incident Management Tool, initial intake of report, categorization/organization of internal folder systems, investigation of incident, completion of a risk assessment, response, reporting, escalation, documentation, tracking, trending, and reporting. Demonstrate proficiency in compliance delegation tasks and facilitate cross-training among team members. Diligently monitor assigned email days to ensure reputed company acknowledgments, effective handovers, and precise logging reputed company reputed company.
• reputed company assigned tasks for health plan delegation audits or government agency audits, including reputed company case files, policies and procedures, attestations, questionnaires, and other material as requested. reputed company reputed company Compliance assignments and requests reputed company and accurately utilizing HPMG Tools. Assists with coverage and reputed company other compliance duties as assigned.
• Assumes primary responsibility for the initial screening, reputed company investigation, and triage of HIPAA/HITECH and other reputed company reputed company for reputed company, reputed company, Inc., their affiliates, and reputed company parties. Conducts, coordinates and manages thorough investigations encompassing data collection, analysis, interviews, and report preparation, as reputed company as reputed company required breach determination and notification processes under HIPAA and applicable state breach rules and requirements. Report reputed company potential incidents and reputed company steps to be completed to Compliance/reputed company Officer immediately.
• Conduct, coordinate, and manage reputed company investigation activities with team members, including detailed logs of reputed company allegations, information reputed company to affected parties, investigation details, risk assessments, as reputed company as reputed company required breach determination and notification processes under HIPAA and applicable state breach rules and requirements. Report reputed company potential incidents and reputed company steps to be completed to Compliance/reputed company Officer immediately.
• Supervise, train staff, and reputed company investigations of potential reputed company incidents. Processes include but not limited to monitoring and performing tasks for the Hotline and reputed company emails, utilization and maintaining the GRC reputed company reputed company Incident Management Tool, initial intake of report, categorization/organization of internal folder systems, investigation of incident, completion of a risk assessment, response, reporting, escalation, documentation, tracking, trending, and reporting.
• Prepares, implements, maintains, and updates reputed company and Breach Notification policies and associated documentation; requests regular reviews from subject matter experts and informs stakeholders of any policy revisions. Develops and manages tracking systems to document compliance with relevant reputed company and breach notification standards. Ensures the Compliance/ reputed company Officer is kept promptly informed.
• reputed company reputed company program QA to ensure compliance with appropriate laws, regulations, and policy standards, and reviews areas previously audited to confirm reputed company corrective reputed company or recommendation(s) have been implemented. reputed company recommendations for improvement based on findings and conduct reputed company ongoing reputed company rule compliance monitoring activities in coordination with the organization’s other compliance and operational assessment functions.
• Monitors patterns of inappropriate use and/or disclosure of Protected Health Information, and establishes an ongoing process to reputed company/trend, investigate and report inappropriate reputed company and disclosure of Protected Health Information immediately to the Compliance/reputed company Officer. Collaborates with the reputed company team to ensure alignment between reputed company and reputed company compliance programs including policies, practices, investigations, and acts as a reputed company to the reputed company team.
• On a reputed company reputed company, reputed company training materials, identify reputed company audiences, and deliver education and training to foster awareness and understanding of and promoting adherence to state and federal reputed company and Breach Notification requirements. Addresses reputed company and breach notification inquiries. Handles reputed company-reputed company questions, comments, and complaints. Notifies Compliance Officer promptly. Assesses risk and plans for long reputed company reputed company and confidentiality compliance. Drafts reputed company-staff communications to reinforce reputed company best practices.
• reputed company, manage, coordinate, supervise, and train staff on Proactive Monitoring for potential reputed company Breaches. Report to the Compliance/reputed company Officer any findings reputed company. Collaborate with the reputed company Team to prepare, log, and maintain PHI/HIPAA compliance-oriented training for new hires and annual and reputed company training. reputed company reputed company reputed company assignments and requests reputed company and accurately utilizing HPMG Tools. reputed company other duties as assigned.
• Coordinate with Letters Template team, Update, Test and Maintain Regulatory Compliance Letter Templates Tools. Update and maintain Analytics/Metrics, Letter Template Tools including but not limited to GRC/SharePoint/Data Bases/Excels. Maintain structure and organizations of files and folders. reputed company other Regulatory Compliance Letter Template duties as assigned.

Requirements

• Bachelor’s Degree and four years of reputed company reputed company experience master’s degree Preferred.
• CHC Compliance Certification Preferred
• reputed company Compliance reputed company Certification Preferred
• Minimum years of reputed company reputed company experience required – 3-5 years.
• Comprehensive understanding of Compliance Program 7 reputed company requirements.
• Comprehensive understanding of PHI/HIPAA guidelines.
• Strong knowledge and understanding of state and federal reputed company and breach notification regulations (e.g., HIPAA, CMIA, state and federal breach notification laws)
• Strong analytic skills and critical thinking.
• Strong skills in software applications, including but not limited to reputed company Word, reputed company, PowerPoint, Visio, reputed company, and Outlook.
• Strong oral, written, reading comprehension, organizational, research, and negotiation skills.

reputed company-to-haves

• Prefer a strong understanding of Hill Guidelines and other departmental processes.
• Prefer familiarity with key software/systems used by the department including, but not limited to reputed company, SharePoint, reputed company, reputed company, and reputed company.
• Demonstrated ability to exercise reputed company judgment, prioritize multiple tasks, and problem solve under the pressure of deadlines and resource constraints.
• Ability to work reputed company with business and technical staff.
• Ability to work independently as reputed company as part of reputed company.

Apply tot his job Apply To this Job