Compliance and Privacy Program Manager in Denver, Colorado at National Jewish Health

Position Summary

The position is oversight and management of activities required for compliance with state and federal rules and regulations affecting the NJH business. Under the direction of the Chief Compliance Officer (CCO), the Compliance Officer will work collaboratively with NJH staff to monitor and report on compliance-related data and issues, and implement new regulations or guidance through policy development and coordination of actionable processes.

Essential Duties

Responsible for incident investigation and management. Investigates compliance incident and reported events; develops recommendations regarding incidents and events. Conducts assessments of potential or actual privacy incidents on behalf of the Compliance Program.

In collaboration with the CCO, conducts periodic risk assessments, prepare and summarize interview notes, document the investigation and assessment, and summarize the outcome for each assigned event in coordination with the entity’s other compliance and operational assessment functions.

Participates in investigations, mitigation, sanctions and other corrective action with appropriate workforce members including Human Resources, management and Information Systems and Technology.

Investigates issues, evaluate practices versus current policies and laws, and recommends solutions to reduce risks.

Coordinates with external agencies such as the Office of Civil Rights, other legal entities, organization officers, and internal departments on documentation requests and submissions, preparing for onsite audit visits and corrective action plan responses.

Responsible for privacy surveillance of electronic medical record systems using programs and software. Ensures privacy monitoring is performed effectively and timely; follows established procedures in accordance with data security standards; utilizes various systems to perform routine and complaint driven privacy surveillance; updates and maintains privacy files and spreadsheets

Manages program for the oversight of third party risk management including but not limited to business associate agreements to ensure all privacy concerns, requirements, and responsibilities are addressed.

Manages breach notifications within regulatory time frames when required.

Assists with policy development and revisions. Recommends applicable updates.

Maintains current knowledge of applicable federal and state compliance laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance.

Assists in the development, monitoring and implementation of the NJH Compliance Program. Key contributor to the achievement of the Compliance Department goals and objectives, ensuring the effective day-to-day operation of the Compliance Program.

Other Duties

None

Competencies

Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.

Impact and Influence: Using appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations, and individuals involved. Taking advantage of opportunities to make a difference and have an impact. When used well, the intended outcome of this competency is the creation of goodwill, trust, and respect while motivating people to want to follow you even when they don’t have to.

Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.

Building Strategic Relationships: Identifying opportunities and taking action to build strategic relationships between one’s area and other areas, teams, departments, units, or organizations to help achieve business goals.

Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.

Managing Work and Time/Project Management: Effectively managing one’s time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.

Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.

Building Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.

Supervisory or Managerial Responsibility

None

Travel

Minimal

Core Values

Be available to work as scheduled and report to work on time.

Be willing to accept supervision and work well with others.

Be well groomed, appropriately for your role and wear ID Badge visibly.

Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.

Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.

Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.

Wears appropriate PPE as outlined by the infection control policies and procedures.

Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

Education: Bachelor’s required. Master’s preferred.

Work Experience: 5 years of experience in compliance, privacy, audit, health information management, legal support or senior/executive administrative support, privacy, audit and/or investigative capacity in a healthcare setting required.

Special Training, Certification or Licensure: Certification in Health Care Privacy Compliance preferred (HCCA or IAPP).

Salary Range: $100,000 - $125,000

Benefits
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.
With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

• Medical Plans, Dental Plans and Vision Insurance
• Retirement Plan
• FSA and HSA
• Short and Long Term Disability
• Life Insurance and AD&D
• Paid Time Off Accruals
• Wellness Program
• Legal Plan