Compliance and Privacy Officer

Job Details

Level SeniorJob Location Gardena, CAPosition Type Full TimeSalary Range $100000.00 - $120000.00 Salary/yearJob Shift DayJob Category Executive

Description

Statement of Purpose

 The Compliance and Privacy Officer (CPO) oversees the corporate compliance program and functions that review, promote and evaluate compliance issues and concerns within BHS.  The CPO ensures that the Board of Directors, management and employees achieve consistently high levels of compliance with all laws and regulations while supporting the growth of BHS.  The CPO assists the Senior Management team in ensuring that BHS policies and procedures are followed and that practices in the organization meet the BHS Code of Ethics.

Major Tasks, Duties and Responsibilities 

• Performs or delegates the responsibilities in this job description as appropriate.  May supervise one or more staff members.
• Develops, implements and evaluates the corporate compliance plan for BHS.
• Develops a quality assurance protocol and program to maintain charting, contract and legal compliance.
• Evaluates quality assurance and improvement activities for BHS program units.
• Reviews all contracts and agreements to assure consistency and protection of BHS.
• Annually reviews liability insurance needs of the organization and arranges for necessary insurance coverage.
• Coordinates responses to program monitoring and auditing by outside entities, e.g., funding sources.
• Develops, implements, maintains and revises policies, procedures and practices of BHS to prevent illegal, unethical or improper conduct.
• Collaborates with BHS managers to direct compliance issues to appropriate existing channels for investigation and resolution.
• Responds to alleged violations of rules, regulations, policies, procedures and BHS code of conduct by evaluating or recommending the initiation of investigative procedures.  Develops and oversees a system for uniform handling of such violations.
• Identifies potential areas of compliance vulnerability and risk, prepares an annual risk assessment report and reports issues to Senior Management.
• Oversees CARF accreditation process and compliance.
• Develops and implements corrective action plans for the resolution of problematic issues and provides general guidance to BHS on how to avoid or deal with similar situations in the future.
• Establishes and manages the compliance hotline.   Investigates and tracks reports to the hotline.
• Works with Human Resources and others as appropriate to develop an effective compliance training program, including introductory training for new employees and ongoing training for all employees and managers.
• Prepares reports for Senior Management and Corporate Review and Compliance Committee regarding unusual incidents, client complaints and compliance activities.  Attends Corporate Review and Compliance Committee meetings.
• Prepares reports for the Board of Directors and Senior Management detailing compliance initiatives and recommends improvements and changes in the overall compliance program.
• Attends trainings as appropriate to fulfill requirements, update job skills, and promote development.
• Carries out safety program in assigned area to achieve and maintain a safe work area and safe work practices.
• Represents BHS well in all in-house and when necessary outside functions and contacts.  Works as a team member.  Maintains cultural sensitivity at all times, conveying respect for cultural and lifestyle diversities of clients and staff.
• Maintains familiarity with BHS policies and procedures and other applicable regulations.  Performs job duties accordingly.
• Recognizes personal issues that impact job performance and interactions with clients and staff.
• Demonstrates ethical and professional behavior.
• Attends meetings and participates in committees as assigned.
• Performs other job duties as required.

Competencies and Performance Expectations

 The Compliance and Privacy Officer is expected to:

 Maintain a high degree of credibility, independence, integrity, confidentially and trust. 

• Display strong communication and leadership skills.
• Demonstrate sound business judgment and support of the BHS mission and objectives. 
• Earn and maintain respect of the Senior Management team, board members, and staff.
• Understand the legal regulatory framework of BHS.
• Exhibit strong analytical and writing skills required to prepare and edit policies and procedures, issue memoranda & other correspondence, and compile program reports.

Qualifications

Prerequisite Qualifications 

Following are the qualifications required to perform the essential functions of this position.  Qualifications may be subject to modification based on the Americans with Disabilities Act. 

Bachelor’s degree required. Minimum 5 years experience in a healthcare organization.  Specific experience with regulatory issues is desirable. 

Must have valid California driver’s license and liability insurance for driving personal vehicle on BHS business. 

Vision, hearing, manual dexterity and eye-hand coordination must be adequate for performance of job duties.  Able to sit at desk, use keyboard, write and physically perform other job duties.  Able to move about the facility to observe staff and facilities. 

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.