The Director - Compliance and Privacy will manage and direct the day-to-day operations of the Compliance Program, under the leadership of the Chief Compliance Officer. The Director – Compliance and Privacy collaborates extensively with management, including Senior and Executive Leadership Staff, to achieve the objectives of an effective compliance program.

This position can be remote, but will travel to our Ankeny, IA headquarters 1-2 times/month for a couple days at a time; will travel 3-4 times/month during training/onboarding.

Salary range: $116,644-151,637

Position Responsibilities may include, but not limited to

Develop, initiate, maintain, and revise policies and procedures for the general oversight of the compliance program and its related activities to prevent illegal, unethical, or improper conduct and ensure an effective compliance program with an emphasis on federal fraud and abuse laws and HIPAA
Responsible for oversight and management of Compliance staff for all compliance activities and serves as a resource on compliance issues
Provide leadership and expertise to help facilitate compliance with applicable statutes and policies
Provide leadership to the field on education of compliance and privacy requirements to include conducting training when necessary
Direct, design and execute a Compliance Risk Assessment and corresponding Work Plan
Design and conduct Compliance audits
Assess methods and procedures used to store and transmit PHI; identifies security or other compliance risks and researches and recommends improvements
Partner with senior leaders to align compliance strategies with business objectives
Serve as the point of contact for regulatory authorities and external compliance auditors
Investigate reports of compliance violations, and collaborate with internal and external counsel as appropriate to develop recommendations for corrective action and resolution
Oversee compliance hotline infrastructure and investigation
Monitor training programs for effectiveness and modify training schedule, methods and materials as appropriate to foster clear understanding of compliance responsibilities and ethical expectations across the organization
Serves as the internal subject matter expert on Privacy laws, including HIPAA, maintaining current knowledge of HIPAA laws and regulations, and any other applicable federal and state privacy laws or regulations
Report on changes in applicable laws and regulations and provides training as needed
Prepare dashboard, reports and other summaries of compliance program activities

Required Skills and Experience

Bachelor’s degree in Business, Law, Healthcare Administration, area of clinical expertise, or other related field
5-7 years’ experience in healthcare compliance, privacy, regulatory affairs or program management
Knowledge of federal and state healthcare regulations, including HIPAA, HITECH, the False Claims Act, the Anti-Kickback Statute, and CMS regulations
Demonstrated experience advising executive leadership on compliance-related matters
Minimum of 3 years of experience managing a team, including hiring, coaching, performance management, and professional development
Strong facilitation, collaboration, and teamwork skills with the ability to build cross-functional partnerships to drive results
Ability to maintain confidentiality and navigate sensitive matters related to organization, employee and senior leadership situations
Ability to work autonomously with limited direction

Preferred Skills and Experience

Master’s degree in Business, Law, Healthcare Administration, area of clinical expertise, or other related field
Professional certification in Healthcare Compliance and/or Privacy (CHC, CPC, or similar designation)
10 years’ experience in healthcare plan compliance, privacy, program management
Experience using compliance hotline vendor software, Governance, Risk, and Compliance (GRC) software, or compliance audit software to track, manage, and report on compliance activities

Repetitive motions that include the wrists, hands and/or fingers
Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus