Deputy Compliance and Privacy Officer

Role Overview

• Provide oversight and direction in the development of all aspects of the compliance program
• Create summaries regarding, and participate in oversight of, Avalon’s contractual obligations
• Performing (or overseeing) the drafting of new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials
• Coordinating with relevant business partners to develop and revise business policies and ensure business policies are being appropriately enforced and monitored
• Overseeing FDR compliance, including maintenance and completion of the Delegated Downstream Entity Compliance Attestation
• Overseeing monthly exclusion checks, Preclusion Checks, and the preparation of associated client reporting
• Overseeing the administration of all new hire training and annual training and various compliance related events (a compliance week) and overseeing the maintenance of records of the same
• Coordinating compliance committee meetings, drafting compliance committee decks, meeting minutes, and preparing executive summaries for the board
• Managing Avalon’s conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the same
• Overseeing maintenance of sanctions log
• Overseeing/participating in Avalon’s responses to compliance and privacy audits
• Develop audit tools, plans, and schedules, and conduct compliance readiness audits as it relates to all new business functions
• Develop and implement risk assessment tools to identify potential deficiencies and facilitate development, monitoring, and implementation of corrective action plans
• Serve as the compliance subject matter expert on all business functions to internal and external stakeholders
• Serve as Privacy Officer
• Serve as the compliance liaison with government regulators to receive any state or federal correspondence or alerts on new initiatives
• Work across teams and departments, balancing competing objectives to accomplish goals and requirements
• Gather and respond to all regulatory or compliance audit requests for information
• Use professional judgment and institutional knowledge to assess risk levels, conduct approved investigations, provide guidance on remediation planning, and prioritize remediation efforts.

Requirements

• 3+ years attorney work experience
• Bachelor’s degree and Juris Doctor
• Expert knowledge of the Health Insurance Portability and Accountability Act (HIPAA Privacy Rules)
• 3+ years’ health care compliance and regulatory experience
• Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans
• Experience developing and deploying governance, risk, and compliance (GRC) systems, incident response practices; and risk assessment practices
• Experience interpreting, summarizing, and advising business personnel regarding health care related statutes, regulations, and contractual obligations
• Must be strong critical thinker and outstanding writer, able to explain complex issues orally and in writing
• Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management and ability to excel in a team environment.

Benefits

• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Remote work options