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Working knowledge of the industry regulations, standards and laws related to information security and data privacy, including HIPAA, GDPR, NIST. With support from Legal department, lead internal investigations related to the compliance program and if required, implementation of applicable corrective and preventative measures and reporting to relevant government agencies.
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Requires five (5) years’ experience with knowledge of laws and regulations pertaining to health care, regulatory compliance, hospital and/or physician billing and information systems, Medicare/Medicaid and financial reimbursement systems, and HIPAA Privacy and Security issues.
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About the Role FTI Consulting’s Technology Segment is seeking a Data Privacy Senior Director with experience in HIPAA Compliance regulatory requirements to work on our Digital Insights & Risk Management engagements.
$112,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Serve as an internal subject matter expert and provide strategic advice to internal stakeholders and management on matters relating to compliance and ethics, such as: Healthcare compliance Cybersecurity compliance Privacy Government contracts DEA Business ethics.
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This position will report to the Chief Ethics & Compliance Officer and work cross-functionally with members of the Commercial, Legal, Manufacturing, Finance, Human Resources, Regulatory, Quality, Research and Development Teams to promote awareness and understanding of positive ethical principles and ensure continuous suitability and alignment of compliance program framework and controls with relevant laws and Civica's goals.
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Other duties as assigned by the Chief Ethics & Compliance Officer. The Senior Manager of Ethics & Compliance will provide leadership and oversight of Civica's ethics & compliance program and policies.
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Certified in Healthcare Compliance (CHC) or similar. Monitor legislative landscapes, compliance trends, and recent enforcement activities by relevant government authorities to provide updates to management.
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Implement and oversee company-wide ethics and compliance program, policies, and controls. Civica recently announced plans to expand its mission, via a unit called CivicaScript, to into the outpatient pharmacy space and to manufacture and distribute insulins that, once approved, will be available to people with diabetes at significantly lower prices than insulins currently on the market.
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Under the supervision of the of Patient Safety Manager, conducts risk management, patient safety, and privacy/compliance (when authorized) investigations related to patient variances to include chart reviews, interviews with involved staff and providers, and communicating with patients to reach an appropriate resolution.
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Civica has also begun to supply the U.S. Department of Veteran's Affairs, the U.S. Department of Defense and the U.S. Strategic National Stockpile of essential medicines. Annual PPSA Transparency data collection and reporting to CMS.
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Civica is led by an experienced team of healthcare and pharmaceutical industry leaders. Participate in the due diligence and/or qualification of/by third parties. Develop and evolve relevant and robust policies and other guidance documents to ensure compliance with applicable laws and regulations, and industry standards.
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Commercial Legal Counsel: In addition to the role of lead privacy counsel, you will act as the lead commercial attorney for functional segments of the business in partnership with the Diabetes legal team – providing advice and counsel on commercial contracting, healthcare compliance and regulatory matters, M&A and strategic transactions, litigation and investigations, intellectual property and other general legal matters.
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Proactively drive culture of integrity, ethical behavior, and compliance by drafting and disseminating written materials and training that are aimed at increasing stakeholders' awareness and understating of relevant regulatory requirements and industry standards.
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Counsel on plan design and drafting, tax and other compliance issues, fiduciary and investment issues, and HIPAA privacy compliance. The candidate will also be required to provide advice and counsel to the Client Human Resources Department and assigned business units on employment law issues involving performance management, employee relations, discrimination, harassment and other EEO matters, staff augmentation considerations, conducting and advising on internal investigations and training employees.
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Conduct compliance risk assessments and create a workplan to coordinate implementation of necessary mitigation actions, aligned with evolving regulatory requirements, industry standards, and business initiatives and strategies.
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