Overview
This role is responsible for building, implementing, and maintaining strategic legal, compliance, and privacy programs that support consistent and effective compliance and/or privacy practices, reduce legal risk, and ensure organizational operations meet legal obligations.
Responsibilities
- Lead and oversee the development, implementation, and ongoing monitoring of the organization’s legal, compliance, and privacy programs.
- Ensure compliance and adherence to applicable laws and regulations and accreditation standards.
- Minimize legal risk across operational activities.
- Ensure the confidentiality of protected health information (“PHI”).
- Promote a culture of compliance and adherence to applicable laws, regulations, and accreditation standards throughout the organization.
- Review documents, agreements, and contractual obligations, including terms, while serving as a key resource to advise on risk mitigation and legal, compliance, and/or privacy matters.
- Analyze client, vendor, and other third-party requests for disclosure of PHI; identify and issue appropriate privacy-related agreements (e.g., Business Associate Agreement, Non-Disclosure Agreement). Review, draft, and negotiate privacy-related agreements.
- Maintain an agreement database.
- Develop, implement, review, update, and maintain privacy-focused policies, procedures, processes, and programs.
- Maintain current knowledge of applicable privacy laws and regulations; implement changes to privacy programs as appropriate.
- Advise on applicable legal, regulatory, and compliance requirements related to privacy.
- Develop, implement, review, update, and maintain compliance-focused policies, procedures, processes, and programs, including those needed to demonstrate a robust compliance program to accrediting agencies.
- Maintain current knowledge of applicable laws, regulations, and accreditation standards; implement changes to compliance programs as appropriate.
- Advise on applicable legal, regulatory, compliance, and accreditation requirements to ensure adherence.
- Manage the development, delivery, and completion of legal, compliance, and/or privacy trainings.
- Review and update training materials on legal, compliance, accreditation, and/or privacy topics.
- Create and deliver specialized educational programs for key roles and responsibilities to mitigate risk arising from legal, privacy, compliance, or accreditation obligations.
- Establish and chair a Compliance Oversight Committee.
- Provide regular reports detailing privacy or compliance initiatives and the status of operational activity to senior management.
- Identify and present changes to legal, privacy, accreditation, or compliance obligations and matters of significance or urgency to senior management.
- Recommend improvements to policies, procedures, processes, and programs to support risk mitigation and adherence to legal, compliance, accreditation, and/or privacy obligations.
- Develop and document an annual work plan for the Committee’s initiatives and activities.
- Coordinate and review all workflow to and through external legal counsel across all areas, including collaboration with Human Resources.
- Manage outside counsel relationships, including billing.
- Conduct and/or participate in annual privacy, security, and compliance risk analysis and ongoing monitoring activities.
- Participate in internal and external audits related to privacy, security, accreditation, and compliance practices.
- Oversee implementation of corrective actions.
- Receive, track, document, investigate (including completion of a risk assessment), and take action on all reports of:
- potential privacy-related incidents or complaints, or
- compliance-related incidents or complaints, including those related to accreditation.
- Direct the process for reporting incidents as required by applicable legal, accreditation, or contractual obligations.
- Review, draft, and negotiate all contractual agreements.
- Serve as a key resource to advise on internal organizational legal, compliance, accreditation, or privacy matters.
- Perform other duties and projects requiring legal, compliance, accreditation, or privacy expertise as assigned.
Requirements
- Bachelor’s degree and JD required.
- Admission to the Bar in one or more states where the organization does business.
- 7 or more years of experience in health care privacy, legal, and compliance matters required.
Preferred Qualifications
- CIPP, CIPM, CHC, CHPC credential a plus.
- Experience with Utilization Review Accreditation Commission matters a plus.
- Experience with Service Organization Controls reporting and audits a plus.
Compensation & Benefits
Benefits package includes:
- Medical, Dental and Vision and Prescription Drug Coverage
- Fitness Reimbursement Benefit
- Employee Assistance Program
- Flexible Spending Account & Health Savings Account
- 401(k) and Quarterly Bonuses
- Generous Paid-Time Off & Volunteering Opportunities
- Educational Assistance & Professional Development Opportunities
Location
Westborough headquarters (onsite amenities include an onsite café, walking trails in the office park, and campus gyms).