- Oversees the day-to-day functions of the corporate compliance and privacy programs
- Review all company compliance and privacy related policies to ensure Convey is meeting requirements with regulatory guidelines
- Creates and implements new compliance and privacy policies and procedures in response to regulatory changes and external reviews
- Reviews all updated CMS Chapters and creates training on revisions and changes
- Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution
- Manages all required breach determination and notification processes under HIPAA and applicable State breach rules and requirements
- Create and monitor Business Associate Agreements to ensure that all Business Associates are maintaining privacy requirements and responsibilities
- Reviews all client contracts from a compliance perspective
Qualifications
Qualifications/Requirements
- 10+ years’ experience in the Medicare managed care and/or pharmacy benefit management environment Understanding of all applicable CMS Medicare
- Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company and client related business
Education:
- A Bachelor’s degree required; Master’s preferred
- Compliance Certification and Healthcare Privacy Certification required
- Knowledge and experience in state and federal information privacy laws
Additional Information
All your information will be kept confidential according to EEO guidelines.