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Posted: Sunday, February 4, 2018 3:52 PM

Job Description
Delta Health Systems, located in Stockton, California, one of the leading Third Party Administrators (TPA) for self insured programs in the country with a reputation for flexibility, innovative services and outstanding customer service is looking for an innovative, self motivated, dedicated individual to fill the position of:
Compliance Director and Privacy Officer
In this role, the Compliance Director and Privacy Officer will develop and lead the compliance program and ensure its effectiveness and day:to:day compliance activities of the organization. This role will serve as a subject matter expert in Privacy and Compliance and, as such, will provide practical guidance and solutions when complex and/or technical issues arise.

POSITION RESPONSIBILITIES:
Establish and maintain an effective, comprehensive Compliance Program, while upholding company values and maintaining companys business ethics.
Develop, initiate, maintain and revise policies and procedures to prevent, detect and respond appropriately to potentially non:compliant practices
Work with management in the development and enhancement of processes to ensure compliance with applicable information security and information management requirements; participate in the development and maintenance of supporting procedures
Manage and oversee regulatory compliance activities to ensure services are provided in accordance with regulatory and licensure requirements
Responds timely to requests received from vendors, clients, regulatory authorities, Company affiliates and internal customers relating to regulatory compliance initiatives, licensing and related processes
Develop material and occasionally conduct external meetings and presentations to vendors, clients and
brokers/consultants
Keeps apprised of applicable state and federal laws and regulations, while analyzing impact on Company and affiliates
Timely reports internal and external threats to senior management
Obtains, maintains and reviews new licenses, renewals, legal documents and reporting requirements for regulatory changes and updates
Assist with and review RFP responses
Provides strategic and proactive advice on legal and regulatory issues affecting Company business
Conducts compliance:related investigations / reviews in collaboration with Companys privacy and security policies
Provide Delta Fund Administrators employees and clients (including participating employers) with assistance on regulatory compliance issues such as DOL required appeal language, BAAs, SPD updates and any other questions that may arise
Increase compliance awareness within the organization through in:service training and education
Works closely with HR to provide input on employee disciplinary sanctions for failure to comply with compliance and privacy policies
Develop an educational program to train and monitor staff on compliance with various aspects of the HIPAA Privacy and Security Rules
Serves as the liaison between employees and legal counsel for guidance, advice and clarity regarding compliance, processes and regulatory requirements
All other duties as assigned

KNOWLEDGE AND SKILL:
Bachelors degree, Masters preferred in health education, Compliance or related field
Active membership with Health Care Compliance Association (HCCA) a plus
Experience in insurance and/or self:funded medical review of claims
Excellent written, computer, and oral communication to diverse populations
Positive, proactive team:oriented approach/attitude
Well:honed organizational skills
Ability to multi:task multiple projects
Flexibility in hours to meet the business needs
Ability to travel
Ability to pass pre:employment background and Department of Motor Vehicles check

CRITICAL SUCCESS FACTORS:
Success will require well:developed emotional and social competencies in these areas:
:Self:Confidence : Can diplo

Source: https://www.tiptopjob.com/jobs/77815135_job.asp?source=backpage


• Location: East Bay, Pleasanton

• Post ID: 95835597 eastbay
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