Sr. Director, Compliance and Privacy

JOB SUMMARY

Under the direction of the Health Plan Compliance Officer, the Senior Director of Compliance & Privacy provides leadership and oversight of the organization’s compliance and privacy programs. This position is responsible for developing, implementing, and maintaining an effective compliance framework that promotes adherence to applicable federal and state laws, HIPAA regulations, and organizational policies. The Senior Director of Compliance & Privacy fosters a culture of ethics, accountability, and regulatory excellence while also serving as the organization’s HIPAA Privacy Officer.

ESSENTIAL JOB DUTIES

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

• Lead, develop, and manage the organization’s compliance program in alignment with federal and state regulations, and industry best practices.
• Supervise and mentor compliance staff, building a high-performing, collaborative team environment.
• Design and oversee internal auditing and monitoring programs, conduct enterprise-wide risk assessments, maintain the annual compliance auditing and monitoring work plan.
• Identify vulnerabilities and implement mitigation strategies.
• Oversee incident reporting and compliance investigations, ensuring timely resolution and appropriate corrective action.
• Oversee and coordinate external audits, reviews, site visits, and inquiries conducted by regulatory agencies, and other oversight entities, lead ongoing readiness activities to ensure organizational preparedness, and oversee corrective action plans resulting from internal and external audit findings.
• Oversee compliance committee activities and present regular updates to leadership and stakeholders.
• Develop, implement, and maintain compliance policies, procedures, and standards of conduct.
• Design and deliver compliance training and promote awareness of compliance standards, regulatory requirements and e