Position: VP of Compliance & Regulatory Affairs
Location: Irving, TX
Reporting to: CEO
Are you a Senior Compliance Leader looking for a unique opportunity to join a fast-paced and growing organization? Our client is looking for a Vice President of Compliance and Regulatory Affairs to join as a key member of the leadership team. The ideal candidate will have experience in both Health Care and Call Centers.
The Compliance department prevents, detects, and mitigates regulatory and reputational risks across the organization; helps to strengthen the company culture of compliance; assesses the organization’s compliance, regulatory and reputational risks; monitors for compliance with new and/or amended laws, rules and regulations; designs and implements controls, policies, procedures, and training; conducts independent testing; investigates, surveils and monitors for compliance risks and breaches; and leads the company’s responses to regulatory examinations, audits and inquiries.
Duties and Responsibilities:
Oversee and manage the Company Compliance and Privacy Programs
Act as the Company’s HIPAA Compliance Officer to ensure the company maintains regulatory compliance and assists the Human Resources Department in developing and executing training programs and courses on an as-needed basis
Responsible for monitoring HHS’s and the state’s regulatory requirements
Communicate and partner with the various shared services, regions, and departments to champion compliance initiatives to help ensure program requirements are met
Develop, advise, and mentor health care compliance and privacy team regarding the implementation, operation, and maintenance of an effective local healthcare compliance and privacy program
Ensure policies and procedures exist to adequately describe the proper conduct expected of the Company associates in carrying out their daily business activities per applicable laws, regulations, and public policies
Develop and implement the EthicsPoint confidential reporting system. This system will be a system where the Company’s Code of Conduct, Standards of Conduct, and Guiding Principles that encourage managers, supervisors, and associates are housed. In addition, this will be a tool used for employees of all levels to report suspected fraud, improper use or disclosure of personal information, and other improprieties without fear of retaliation.
Ensure training and product programs are up to date and are provided to all covered associates of the Company and Privacy Compliance
Develop, coordinate, and participate in a multifaceted educational and training program that focuses on the elements of the Company’s programs
Ensure Compliance team implementation of local health care compliance and privacy training and education to business unit personnel, contractors, and business partners
Train senior leadership regarding the program
Provide reports and updates to the Compliance Team and support the team as required or as deemed appropriate
Evaluate Company processes for health care and privacy compliance impact by conducting annual compliance auditing, testing and monitoring plans, enhancing the programs based on the results of those plans
Coordinate internal health care and privacy compliance review and monitoring activities, including Compliance team periodic reviews of departments
Conduct investigations of alleged misconduct relating to the program, reporting findings to Legal, HR, and senior leadership as appropriate
Communicate any matter deemed potentially illegal, unethical, or otherwise abusive or improper, as appropriate
Ensure prompt response to detected offenses, developing corrective action, and reporting findings to the government via established channels
Coordinate any resulting corrective actions with all health system departments, providers and sub-providers, agents, and, if appropriate, independent contractors
Develop and oversee the Company’s effective lines of communication by establishing and managing the Compliance Hotline
Skills & Qualifications:
Bachelor’s in Business Administration, criminal justice, accounting, or related field; Master’s degree preferred
Ten (10) years experience in the healthcare industry with relevant experience in highly regulated business environments with a strong focus on ethics compliance
Five (5) years experience in Compliance, Privacy, and Program management operating independently and advising middle and senior management
Five (5) years of experience in a Call Center environment with a focus on Compliance
Detailed understanding of government requirements/expectations for healthcare compliance programs
Certification in Health Care Compliance and/or Privacy
Excellent written, oral, and presentation communication skills
Proven ability to work with all levels of management
Strong problem-solving skills with a demonstrated ability to partner effectively with others in handling complex issues
Strong influencing skills and sound business judgment
Proficient knowledge of the financial services industry and applicable rules, regulations, and federal and state laws, including Consumer Protection laws
Knowledgeable and experienced in Compliance resolution processes
Knowledge of testing methodology, risk, and controls analysis
Excellent written and oral communication; able to deliver presentations in an articulate and convincing manner
Ability to work well in a team environment
Ability to impact and influence others across the organization
Strong analytical and organizational skills
Detail-oriented and capable of multi-tasking and prioritizing in a fast-paced environment to meet deadlines
Ability to work independently to meet deadlines
Ability to maintain confidentiality and data accuracy when handling sensitive information
Preferred Qualifications:
Continued post-graduate education or advanced degrees
Professional Certifications (CRCM, CFA, etc.)
Experience or knowledge in the execution of operational, financial, regulatory, and related audits
Experience or knowledge with third-party vendor management function