Compliance and HIPAA manager

• Chapel Hill - Chapel Hill Administration
• $76,424 - $88,596.00
• Salary
• Full Time

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee. 

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title – Compliance and HIPAA manager

Department - Quality and Compliance

Reports to – Chief Compliance and Quality Officer

Benefits - 

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position: 

The Compliance and HIPAA Manager, under the Chief Compliance and Quality Officer leadership, oversees compliance at PHS Community Health Centers and Privacy at all PHS locations. The manager is responsible for ensuring regulatory compliance with the accreditation bodies, i.e. The Joint Commission, HRSA and NCQA. Serves as the HRSA, Joint Commission and PCMH Coordinator. Functions as an objective body that reviews and evaluates compliance issues/concerns within the organization. Works in conjunction with the Chief Compliance and Quality to ensure the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies. Ensures that company policies and procedures are being followed and that behavior in the organization meets the company's Standards of Conduct. Practices within the scope of Piedmont Health Services policies, procedures and standards. The Manager will help develop, implement and direct a comprehensive privacy program as the Privacy Officer for PHS in accordance with federal, state requirements and internal policies. You will administer the daily operations of the privacy program, including: policy maintenance and development; monitoring privacy activities (auditing, risk assessments, and walk-throughs); and management of privacy incidents and insuring patients' rights are in accordance with applicable governing laws.

• Work Location: Admin Corporate Office
• Schedule: Monday - Friday 8:00 am - 5:00 pm
  
• Travel: Requires travel to all PHS sites,Minimal overnight travel

Duties/ Responsibilities – 

• Serving as a subject matter expert on privacy related matters including Serving as information privacy resource to the organization regarding release of information and to all departments for all privacy related issues
• Builds a strategic and comprehensive privacy program that defines, develops, maintains and implements policies and processes that enable consistent, effective privacy practices, which minimize risk and ensure the confidentiality of protected health information (PHI), paper and/or electronic, across all media types. Ensures privacy forms, policies, standards, and procedures are up-to-date.
• Establishes, with the information security officer, an ongoing process to track, investigate and report inappropriate access and disclosure of protected health information. Monitor patterns of inappropriate access and/or disclosure of protected health information.
• Works with organization administration, legal counsel, and other related parties to represent the organization's information privacy interests with external parties (state or local government bodies) who undertake to adopt or amend privacy legislation, regulation, or standard
• Conducts related ongoing compliance monitoring and assessment activities in coordination with the organization's other compliance and operational assessment functions.
• Performs and manages all required breach risk assessment, breach determination and notification processes documentation, and mitigation under HIPAA and applicable State breach rules and requirements. Works with Human Resources to ensure consistent application of sanctions for privacy violations
• Oversees, develops and delivers initial and ongoing privacy training to the workforce.
• Participates in the development, implementation, and ongoing compliance monitoring of all business associates and business associate agreements, to ensure all privacy concerns, requirements, and responsibilities are addressed. Works cooperatively with all applicable organization units in overseeing patient rights to inspect, amend, and restrict access to protected health information when appropriate.
• Performs any other duties as assigned or needed.
• Ensures collaborative approach to regulatory compliance in the health centers in all departments and services.
• Works in conjunction with the Chief Compliance and Quality Officer and other leadership to ensure the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies
• Monitors that company policies and procedures are being followed and that behavior in the organization meets the company's Standards of Conduct.
• Updates job knowledge by studying trends in and developments in regulatory agencies; participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
• Works closely with the Chief Compliance and Quality Officer to continuously assess and improve compliance with regulatory agencies i.e. PCMH, HRSA, CMS.
• Submits new applications for regulatory agencies as necessary
• Assist with training of staff to improve corporate compliance and knowledge of policies and procedures
• Performs other duties as assigned to fulfill the mission and strategic plan of the organization.

Qualifications – 

Education: RN, BA/BS, MHA or related field of study                 

Required: 

Experience in healthcare; demonstrated leadership; experience working with many levels of staff, i.e. medical providers, nurses, support staff, senior leadership and board members; familiarity with operational, financial, quality and human resources procedures. Experience with work in HIPAA and with regulatory agencies, i.e. HRSA, TJC, PCMH, CMS. Requires frequent sitting for long periods, operation of standard office machines and computer. May require lifting of up to 15 pounds. Requires use of office equipment, such as computer terminals, telephones or copiers. Requires hand-eye coordination and manual dexterity. Requires normal vision range. Work is performed in an office environment. Contact with staff and external clients and vendors. 

Preferred: Spanish speaking

Ability to use computerized tracking tools; Experience with data collection, analysis and reporting for regulatory and compliance issues, including chart audits and clinical analysis.  Excellent skill with EMR and Microsoft Office programs (Excel and Word).  Experience with population management principles.  

Current/valid License: N/A

Immunizations: PHS Required immunization history

Pay Range - $76,424.00 - $88,596.00

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

DEI Statement

Piedmont Health Services, Inc. (PHS) endeavors to maintain an inclusive workplace, one that is reflective of the patient population that we serve and the individuals whom we employ. We strive to incorporate inclusiveness throughout our work culture, including the way that we recruit, support, and retain employees. We believe that having employees from diverse backgrounds, cultures, and experiences is an asset. It helps us to view the world through different lenses embodying the perspectives, opinions, approaches, and values that our employees bring to work daily. In fact, inclusion is woven into the very fabric of our work life, which allows our employees to perform at their highest possible potential.