Dir. Compliance - Atlantic Health System

Key Responsibilities

2. Manage the day-to-day activities, including the supervision of assigned direct and indirect reports, of the Compliance Division of the AHS Corporate Compliance and Internal Audit Department.
3. Develop and update written internal standards of conduct and associated policies, procedures, and guidance pertaining to the implementation of the AHS Compliance and Ethics program and related fraud, waste, and abuse prevention initiatives.  
4. Oversee the maintenance of the organizational-wide compliance reporting process and associated organizational-wide confidential and anonymous compliance hotline.
5. Provide, from a compliance perspective, oversight of organizational-wide privacy including, without limitation: (i) (a) HIPAA Privacy and Breach Notification Rules compliance; and (b)  applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information, as well as applicable Federal and State privacy breach notification rules compliance; (ii) data breach determinations and follow up; (iii)  investigations; (iv) risk assessment and analysis; (v) internal and external reporting; (vi) HIPAA  training framework and program; (vii) the management and monitoring of business associate agreements and associated processes; and (viii) digital privacy compliance-related matters.
6. Develop and conduct organizational-wide compliance-related training and education for AHS new team member team member orientation, as well as for annual and adhoc comopliance training. 
7. Prepare agenda materials for, and report out at, the various AHS Hospital’ compliance committees, as well as other compliance-related committees as directed by the VP of Corporate Compliance and Internal Audit, covering compliance program activities and associated metrics.
8. Develop and perform focused audit-related activities including, without limitation, the conduct of compliance reviews, the assessment of existing internal controls, and the performance of gap analyses, concerning organizational risk areas (whether such risks are predefined by regulation or regulatory guidance, or identified through organizational experience) for legal and regulatory compliance.
9. Develop and lead the ongoing (at least annual):  (i) assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and (ii) championing, coordination, and facilitation of enterprise risk management activities.
10. Conduct, manage, and document investigatory activities in response to compliance-related complaints and concerns.
11. Perform ongoing and annual effectiveness assessments of the AHS Compliance Program.  

Experience Required: 

10+ years compliance experience. (5+ years in healthcare compliance)

Leadership Competencies Required: 

• Collaboration, business judgement, ability to manage, coach and mentor team, processed and projects. 

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.