Compliance/Security Officer
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Job Description
Compliance Officer overseeing comprehensive compliance program while ensuring adherence to federal and state laws. Leading policies, audits, and risk assessments in a healthcare context.
Responsibilities:
- Ensure that the organization operates in full accordance with federal and state laws, including HIPAA, CMS, and OIG guidelines.
- Establish and maintain the foundational "Seven Elements" of an effective compliance program as defined by the OIG.
- Draft, implement, and update compliance policies and procedures.
- Ensure completion of Fraud, Waste, and Abuse (FWA), HIPAA, and General Compliance training within 90 days of hire and annually thereafter.
- Oversee the organization’s status as a First Tier, Downstream, and Related Entity (FDR).
- Manage the monthly screening process against OIG and GSA databases for all staff and contractors.
- Audit the timeliness of Organization Determinations, Appeals, and Grievances.
Requirements:
- Bachelor’s degree required; Master’s, or healthcare-related advanced degree preferred.
- Certification in Healthcare Compliance (CHC) or equivalent is highly desirable.
- 10+ years of experience in healthcare compliance.
- Deep knowledge of HIPAA/HITECH, False Claims Act, Anti-Kickback Statute, and CMS ODAG requirements.
- Strong ability to manage a remote, nationwide workforce.
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