Compliance and Privacy Specialist

Fair Haven Community Health Care•New Haven, CT

About The Position

The Compliance and Privacy Specialist provides technical and administrative support to the Chief Compliance Officer in maintaining a culture of integrity and accountability. This role ensures the organization remains in constant alignment with Federal, State, and Accreditation standards through diligent auditing, performance reporting, and the promotion of "continuous readiness" across all clinical and administrative departments.

Requirements

Bachelor’s degree required.
A minimum of one year of experience in healthcare compliance or privacy is required.
Proficiency with Microsoft office (Word, Outlook, & Excel) and Epic EHR also required.
Considerable knowledge of federal and state healthcare regulatory requirements, billing, coding, and reimbursement systems.
Ability to interpret complex statues and regulations, conduct independent research, synthesize findings, and apply results to healthcare operations.
Ability to analyze data to identify deficiencies and develop corrective action plan; strong analytical, critical thinking, problem solving and computer skills; a high level of integrity and have strong verbal and written communication and interpersonal skills.

Nice To Haves

Certification in Healthcare Compliance (CHC) or Healthcare Privacy (CHPC) and one year of experience with Privacy / HIPAA investigations is preferred.
Familiarity with Bureau of Primary Health Care Compliance requirements and TJC ambulatory health care along with patient centered medical home standards is highly desirable.

Responsibilities

Program Development: Support the Chief Corporate Compliance Officer (CCO) in the development, implementation, and ongoing evaluation of the organization’s Corporate Compliance Plan.
Performance Reporting: Prepare quarterly performance reports and maintain the monthly Compliance Dashboard to track progress against the annual Work Plan.
Auditing & Monitoring: Conduct inter-departmental audits, system reviews, and risk assessments as prioritized in the Work Plan or in response to emerging organizational issues.
Privacy Assistance: Assist the Privacy Officer with investigations into potential HIPAA violations and other privacy-related incidents.
Regulatory Analysis: Monitor federal and state regulatory changes that impact FHCHC and recommend necessary policy updates to ensure continued alignment.
Licensing Liaison: Act as the Compliance Department’s on-site point of contact for licensing visits and inspections by various regulatory authorities.
Continuous Readiness: Provide technical assistance across departments to maintain "continuous readiness" for The Joint Commission (TJC) accreditation standards.
Corrective Action: Draft and recommend formal Corrective Action Plans (CAPs) under the direction of the CCO to address identified gaps or audit findings.
Committee Support: Coordinate the Corporate Compliance Committee, including agenda preparation and minute-taking.
Administrative Support: Execute additional duties as assigned by the Corporate Compliance Officer to support the department’s mission.