The Association of Corporate Counsel (ACC) is the world's largest organization serving the professional and business interests of attorneys who practice in the legal departments of corporations, associations, nonprofits and other private-sector organizations around the globe.
The Vice President of Compliance, Audit and Privacy provides operational compliance/advisory support to Advocare, LLC, its Care Centers and physician members. Reporting to the Chief Legal Officer and, as needed, to the President and Chief Executive Officer, this position is responsible for developing and maintaining a program within Advocare, LLC to demonstrate a compliance culture through understanding and compliance with federal and state laws and regulations, professional standards, private payor policies and Advocare, LLC's Code of Conduct. The Vice President of Compliance, Audit and Privacy will develop action plans to implement new statutory and regulatory mandates and, in collaboration with key stakeholders, lead the implementation of these plans. This position will play a key role in the annual risk assessment process and support the implementation of mitigation activities.
Serves as Chief Compliance Officer and Privacy Officer;
Provides compliance advisory support and direction for applicable legal and regulatory requirements and mitigate compliance risks;
Conducts audits, documentation/coding reviews and supplemental analysis in preparation for state and client audits, and assist with the coordination of internal and external audit requests;
Reviews, evaluates, investigates and resolves compliance and HIPAA issues and concerns to assure compliance with regulatory standards, and applicable laws and regulations;
Works collaboratively with leadership teams to establish and implement policies and procedures addressing areas of significant legal, regulatory or other compliance risks;
Identifies potential legal and compliance deficiencies and/or compliance/HIPAA risks and recommends mitigating processes designed to achieve adherence;
Partners with leadership to lead buildout of a strategic and comprehensive privacy program which defines, develops, maintains and implements policies and processes which enable consistent, effective privacy practices to minimize risk and ensure the confidentiality of protected health information (PHI);
Ensures privacy policies and forms are up to date;
Serves as a liaison for patient privacy contacts;
Works with applicable members of organizational leadership to establish governance for the privacy/compliance program;
Develops and conducts all HIPAA/compliance training and awareness activities within Advocare, LLC;
Cooperates and/or partners with the U.S. Department of Health and Human Service's Office for Civil Rights, state regulators and/or other legal entities in any compliance reviews or investigations;
Provide guidance, advice and expertise relating to compliance with safety and health regulatory standards such as OSHA;
Ensures compliance with CLIA;
Serves as a technical resource on documentation, coding, billing, and general compliance questions related to primary and specialty Care Centers;
In collaboration with members of Compliance and Quality Committees, identifies and implements strategic initiatives for compliance risk areas for which this position is directly responsible;
Participates in and advises on compliance-related aspects of organizational business development initiatives;
Fulfills additional assignments and responsibilities as needed; and
Strategically addresses and escalates key compliance risks to the Chief Legal Officer, and, when necessary, to the President and Chief Executive Officer and to the Executive Council to ensure organizational accountability.
Minimum of six (6) years prior compliance experience which may include risk assessment and audit experience;
Prior work experience in the healthcare industry;
Compliance related certification preferred (Certification in Healthcare Compliance (CHC); Certification in Healthcare Privacy Compliance (CHPC) and/or Certified Compliance and Ethics Professional (CCEP));
Bachelor's degree or equivalent work experience required;
Demonstrated effectiveness operating in complex organizational and regulatory environment;
Ability to excel in a fast-paced environment with multiple service locations and a broad set of diverse stakeholders, including physician leaders;
Strong attention to detail and commitment to project ownership, accuracy and completion on a timely basis;
Experience with monitoring and ensuring compliance with state regulatory requirements and experience in interpreting state and federal laws;
Professionally skilled in personal presentation, verbal and written communication;
Strong interpersonal skills with the ability to effectively listen and communicate to varied levels;
Consulting experience, especially focused on complex, highly regulated industries, is a plus;
Ability to travel to Care Centers as needed;
Demonstrated computer skills including Microsoft Office's suite of software applications and remote working platforms such as Zoom, Microsoft Teams and internet software; and
Strong problem solving, risk analysis and project management skills and the ability to work with minimal supervision.
Ability to read and interpret documents such as mail, safety rules, operating and maintenance instructions and procedure manuals. Ability to write reports and correspondence when requested. Ability to speak effectively and clearly to colleagues and visitors.
Ability to solve practical problems and address a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly exposed to an office environment with ringing phones, printing equipment and people moving around. This role uses standard office equipment. The noise level in the work environment is usually low to moderate.
The physical demands described here are representative of those which must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand, to walk, to use hands to finger, handle or feel and to reach with hands and arms.
Please be aware for the safety and security of our employees and patients all new employees are required to undergo and successfully pass the following:
Exclusion Database Screening
About Advocare, LLC
Advocare, LLC is an integrated independent physician owned and governed multi-specialty medical organization which delivers exceptional care throughout New Jersey and Pennsylvania. It includes pediatricians, family practice physicians and specialists, each of whom has strong bonds to the children, adults, families and communities they serve. Advocare physicians promise to bring to each patient their vast experience, a pursuit of continuing education and a true love for the practice of medicine. They are proud to provide the highest quality healthcare with a personal, caring touch which focuses on the health, safety, well-being and overall needs of their patients and their families. Advocare physicians offer medically-integrated excellence for every healthcare need in life. For more information visit www.advocaredoctors.com
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