Job Description
The CCPO has multiple reporting relationships as follows:
A. To safeguard the independence and integrity of the CCPO's functions, the CCPO shall report directly on the nature and status of material affecting the Network to: (i) the Network Board of Trustees Audit Committee at its regular meetings, (ii) Senior Management as needed, and (iii) the President/ CEO and/or the Chair of the Audit Committee, whenever deemed necessary and appropriate by the CCPO.
B. To promote excellent job performance and to foster organizational effectiveness through appropriate coordination and communication, the CCPO shall report to the Network General Counsel in carrying out the job functions and accountabilities described herein; provided, however, that the Network General Counsel shall not have authority, in any event, to interfere with the independent judgment of the CCPO, or to impede the direct access of the CCPO to the Network Audit Committee and its Chair, to other members of Senior Management when deemed necessary and appropriate by the CCPO.
C. The CCPO directly supervises a team of 12, which consists of Network Partner Compliance and Privacy Officers, the Compliance and Privacy Manager, and Compliance Supervisor, and provides guidance to those roles in overseeing the Privacy Analysts, and Compliance and Privacy Specialists/Auditors.
The CCPO works collaboratively with the Network General Counsel and other members of Network Senior Management in identifying areas where compliance and privacy efforts are needed and investigating compliance and privacy issues. He or she works regularly with the Network Information Services Security Officer, as well as leadership at Network affiliates. In collaboration with the Network General Counsel and other members of Senior Management, the CCPO may also serve as the primary contact with State and Federal agencies on issues related to compliance or privacy.
Must-HavesJuris Doctor strongly preferred, or Master's degree in business administration, healthcare management or related field.
Five to seven years of progressively responsible experience in the field of health care compliance and privacy is required, including demonstrated management experience in a hospital/healthcare system.
Management experience working in complex organizational settings and demonstrated ability to interact with and coordinate activities with various internal and external constituents is required.
Familiarity with health care reimbursement systems, fraud and abuse laws, and patient privacy laws.
Experience in managing and resolving billing and health care regulatory compliance issues as well as in organizational ethics and corporate responsibility matters.
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