VP Compliance & Privacy

Overview

The VP Compliance & Privacy will lead the firm’s Compliance and Privacy teams in implementing and overseeing a strong compliance program that supports the firm’s growth in an ethical and compliant environment.

Responsibilities

• Oversees and monitors the implementation of the compliance program, develop a team of highly qualified compliance and privacy professionals, and collaborate with all functional areas throughout the organization including legal, finance, human resources, information technology and senior leadership. Implement a Compliance and Privacy Committee to regularly review the status of the Compliance and Privacy Program and report on any identified compliance and privacy issues.
• Consults with internal; and external legal representatives as needed to address difficult legal compliance issues. Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations. Provide assistance in contract development in the areas of compliance, privacy and security with emphasis on business associate agreements.
• Oversees all external audits interfacing with auditors/consultants, regulatory agencies, and clients and customers. Conduct regular auditing and monitoring of compliance with organization policies and procedures, legal requirements, and client contracts. Oversee all Business Associate Agreement compliance and monitoring.
• Develops and periodically reviews and updates compliance and privacy policies and procedures and standards of conduct to ensure continuing currency and relevance in providing guidance to management and employees.
• Oversees vendor compliance including establishing onboarding and offboarding policies and procedures.
• Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends. Conduct exclusion checking on a regular basis and maintain records of results. Monitor all regulatory and enforcement activities to ensure all compliance and privacy activities remain up-to-date with industry requirements.
• Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. Conducts privacy and security risk assessments. Maintains and updates compliance and privacy risk registers on a regular basis.
• Provides reports on a regular basis, including preparation of an annual compliance program and annual compliance report, and as directed or requested, keeps senior management informed of the operation and progress of compliance efforts. Has an instinct for metrics- driven management. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required.
• Institutes and maintains an effective compliance communication program for the organization, including promoting: (a) development and use of the compliance hotline; (b) heightened awareness of Standards of Conduct, (c) ensure all employees understand privacy and security requirements, and (d) understanding of new and existing compliance issues and related policies and procedures.
• Work with the Human Resources Department and others as appropriate to develop an effective compliance and privacy training program, including appropriate introductory training for new employees and ongoing training for all employees and managers
• Interview, hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications

• Bachelor’s degree required; Master’s degree and/or Compliance-specific certifications preferred.
• Minimum 15 years’ compliance and privacy experience, with increasing levels of responsibility and oversight as a technical professional. Preference for experience in healthcare environments specifically in the areas of HIPAA and Medicare and Medicaid managed care contracting.
• Experience implementing and building a successful compliance and privacy program strongly desired.
• The intellect and energy to excel in a complex and ever-changing environment.
• Senior leader with proven experience in growth-oriented businesses in the healthcare information and analytics space with strong competencies in developing and leading compliance programs.
• Excellent leader who is results oriented.
• Requires the ability to synthesize and utilize data for problem diagnostics.

Base compensation ranges from $200,000 to $240,000 annually. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

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Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.

Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)