Compliance & Privacy Manager Full Time

At Bristol Health we begin each day caring today for your have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients residents and families. We are committed to providing compassionate quality care at all times and to uphold our values of Communication Accountability Respect and Empathy (C.A.R.E.). We are Magnet and we received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 your expertise compassion and kindness to transform the patient a Bristol Health your choice.

Bristol Health is seeking a Compliance and Privacy Manager responsible for ensuring the organization upholds the highest standards of compliance privacy and related internal controls across all entities. This includes overseeing the design implementation management and reporting of Bristol Healths Compliance and Privacy programs and work plans. The role involves developing implementing and monitoring effective internal controls policies and procedures that support compliant and ethical business practices. The Manager will collaborate with senior leadership to develop implement and oversee compliance privacy and risk-management initiatives. The position promotes a culture of operational excellence continuous improvement and adherence to regulatory standards while mentoring staff and collaborating with executive leadership to strengthen internal controls mitigate risks and enhance operational efficiency.

Essential Job Functions and Responsibilities:

Organizational Programs

• Develop and execute compliance and privacy programs aligned with organizational goals legal standards industry regulations and internal policies to mitigate risk and uphold ethical standards.
• Provide strategic oversight and management of the annual Enterprise Risk Management Program identifying key risks and recommending mitigation strategies.
• Conduct related internal control process and procedure reviews identify gaps or areas for improvement and assist in developing mitigation strategies.
• Collaborate with senior leadership and the Audit and Compliance Committee of the Board of Directors to support appropriate oversight of the programs.
• Monitor industry best practices and emerging risks recommending innovative approaches to strengthen internal controls and processes related to the programs.

Policy Procedures and Regulatory Compliance

• Review policies procedures and internal controls providing leadership and suggestions for improvements to optimize operational effectiveness and maintain compliance with regulations.
• Lead coordination during regulatory audits investigations and internal reviews to ensure compliance and privacy standards are maintained.
• Participate in regulatory compliance and confidentiality activities keeping current with relevant healthcare laws and standards.
• Develop manage and implement programs and processes to support organizational compliance with applicable federal HIPAA and related state regulations and guidelines particularly regarding the organizations acquisition access use and disclosure of PHI.

Training and Education

• Facilitate training education and communication initiatives to promote a culture of compliance and ethical standards organization-wide.
• Maintain ongoing professional development and ensure team adherence to organizational policies including the Code of Conduct.

Quality Improvement and Innovation

• Develop and implement a quality assessment and improvement program designed to support consistently highly productive and value-producing compliance and privacy functions.
• Monitor industry best practices and emerging risks recommending innovative approaches to optimize the effectiveness of the compliance and privacy programs.

Other Responsibilities

• Perform all other duties as assigned to support Bristol Healths mission and operational excellence.

Educational / Minimum Requirements:

• Bachelors degree in Healthcare Administration Business Administration Finance Law or a related field; a Masters degree is preferred.
• Minimum of 3-5 years of experience in compliance internal audit privacy or related areas.
• Professional certifications such as CPA CIA CFE or CHC are highly preferred.

State/Federal Mandated Licensure or Certification Requirements:

None.

Bristol Hospital Mandated Educational Requirements:

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by the Hospital.

Special Requirements:

• Strong analytical skills with the ability to interpret complex financial and operational data.
• Excellent interpersonal communication and leadership skills.
• Proven ability to manage projects lead teams and communicate effectively with diverse stakeholders.

Physical Requirements:

Extended sitting standing and walking. Occasional lifting of office supplies and materials usually under 50 pounds.

Work Environment:

Normal office conditions.

Cognitive Requirements:

Decision-Making & Judgement; Focus & Concentration; Problem-Solving & Critical Thinking; and Communication & Language.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time as needed.