Senior Manager, Corporate Compliance and Privacy - 25-215

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At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

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DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The Manager of Compliance and Privacy Program assists with the Compliance and Privacy Program Elements. The Manager provides support to the Compliance Officer gathering and maintaining information for the required elements of a compliance and privacy program and maintains timely and accurate internal and external compliance communications. Assume primary responsibility for the intake of Compliance FWA and Privacy incident reports including initial investigation, completion of risk assessment, response, reporting, escalation, and documentation of matters. Additionally, maintain clear and concise detail-level supporting documentation of departmental projects and corporate projects that impact the department in an orderly fashion. The Manager works with the Compliance Officer to verify that appropriate resources are allocated to complete projects on time and achieve service levels. The Manager assists staff with representing Compliance in cross-functional projects or Health Plan audits, Regulatory Templates/Letters, participating in meetings with other departments on Compliance and Privacy matters.

ESSENTIAL RESPONSIBILITIES:

Corporate Compliance and Privacy Program

• Assist the Compliance/Privacy Officer with the Corporate Compliance and Privacy Program Elements.

• Maintain and update Compliance and Privacy Tools—including SAI360, SharePoint, databases, Excel workbooks, files, and folders—and prepare reports as required. Serve as the system administrator for SAI360, ensuring awareness of updates and the maintenance of the Policy, Privacy, and Compliance Modules. Provide support for the Audit and COI Modules as necessary. Keep Compliance Officer informed timely.

• Conduct a comprehensive review of Compliance and Privacy policies and procedures at least annually to ensure they remain current and aligned with regulatory requirements. Report to Compliance Officer all changes promptly.

• Promptly update, review, and maintain compliance and privacy playbooks and training materials. Report to Compliance Officer all changes promptly.

• Develop, update, manage, and coordinate the preparation of materials for Compliance and Privacy Program Committees and meetings, including agendas, data analysis reports, presentations, and minutes. Promptly gather and communicate essential information regarding Compliance or Privacy requirements to the Compliance Officer.

• Perform comprehensive research on complex questions to identify relevant regulatory or contractual obligations and promptly present the findings to the Compliance Officer.

• Collaborating with the Compliance/Privacy Officer and team lead coordinating project activities, identifying, documenting, and executing specific action items required for the effective implementation of process improvement initiatives. Design thorough test cases and scenarios to conduct testing and detect defects. Anticipate potential issues and develop alternative solutions while delivering timely updates to the Compliance Officer. Regularly review and monitor the issues log to confirm resolution of outstanding matters, reporting status to the Compliance Officer prior to solution deployment. Provide backup support to the team when necessary.

• Keep the Compliance/Privacy Office Project List up to date with all ongoing departmental projects. The list should include information such as the intended audience, project goals, project leader and team members, detailed next steps with deadlines, responsible personnel, and the completion date