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Penn State Health** - **Penn State Health Corporation

**Location:** US:PA: Hershey

**Work Type:** Full Time

**FTE:** 1.00

**Shift:** Day

**Hours:** 8 Hour Shifts

**Recruiter Contact:** Garrett C. Kieffer at [email protected] (MAILTO://[email protected])

*Hybrid – Mostly remote work requiring travel to various sites*

SUMMARY OF POSITION:

The Director of Compliance and Privacy (Investigation and Guidance) will report directly to the Vice President of Compliance and Privacy and will provide oversight and strategic direction to the organization's compliance and privacy program while serving as a role model for ethical management behavior. The individual selected for this role will be a seasoned, transparent, and collaborative compliance leader within the healthcare industry and will be responsible for developing, implementing, and managing regulatory compliance oversight and internal compliance audit across Penn State Health. Network and performance strategies are focused on the post-acute care facility continuum of care including but not limited to Skilled Nursing Facilities (SNF) and inpatient rehabilitation facilities (IRF) and home health agencies (HHA). External partners will be SNF, IRF and HHA.

**ESSENTIAL DUTIES:** The percentage of time spent performing essential functions is 95%. Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

+ Promote a corporate culture that fosters ethical and compliant behavior and provides the basis for ensuring adequate internal controls and compliance with all laws and regulatory requirements.

+ Work with internal and outside counsel, executive management, and entity leadership regarding compliance risk areas.

+ Participate in the visioning and strategic identification of new enterprise risk advocacy, legal requirements, risk management, and audit processes.

+ Develop and lead the execution of system-wide compliance and privacy work plans focused on assessing and enhancing internal controls and adhering to compliance regulations.

+ Direct the full life cycle of the compliance audit and administration processes, including policies, Code of Conduct, Notice of Privacy Practices, investigations, issue resolution, remediation and mitigation including identifying corrective action, ongoing monitoring, training/education, and guidance.

+ Coordinate, supervise, and perform medical record audits of electronic and manual documentation, coding, and billing for technical and professional services.

+ Develop formal audit reports of findings and recommendations, which are presented to senior management of applicable department, the Compliance Committee, and the Audit and Compliance Committee of the Penn State Health Board of Directors.

+ Conduct close-out meetings with senior management of applicable department and perform follow up to ensure management completes all recommended/corrective actions identified through audits.

+ Coordinate audit activities with Internal Audit, as necessary.

+ Draft, review and negotiate contractual terms and conditions within agreements with internal and third parties with respect to regulatory requirements, as well as privacy and compliance initiatives, including Business Associate Agreements.

+ Anticipate and manage potential business risks, ensuring strong stewardship and management accountability at all levels.

+ Identify compliance risk areas and develop action plans accordingly.

+ Represent the organization's interests with external parties.

+ Participate in external government audits.

+ Participate in development of voluntary disclosures and repayments to federal and state agencies.

+ Leads a team of Compliance specialists and oversees day to day tasks, Is responsible for performance evaluations, timekeeping, disciplinary actions and hiring of these team members

MINIMUM QUALIFICATION(S):

+ Bachelor's degree

+ Minimum ten (10) years experience in comprehensive compliance, audit, billing, coding, and documentation experience, preferably in complex health care system.

+ Minimum five (5) years experience in managing, guiding, mentoring, and motivating a team in a complex organization with demonstrated skills in developing strong, collaborative teams.

PREFERRED QUALIFICATION(S):

+ Advanced degree

+ Coding certification (e.g., CCS, CPC, RHIA, RHIT)

+ Certified Internal Auditor (CIA)

+ Professional privacy certifications (e.g., Certified Information Privacy Professional (CIPP), Certified Information Privacy Manager (CIPM), etc.)

+ GDRP or other international or privacy experience

+ Strong skills in network and business development, managing the relationship of health care business across various care settings

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

+ **_Be Well_** with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).

+ **_Be Balanced_** with Generous Paid Time Off, Personal Time, and Paid Parental Leave.

+ **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.

+ **_Be Rewarded_** with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.

+ **_Be Supported_** by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH CORPORATION?

There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.

Within Penn State Health’s Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.

YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.

_This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract._ _All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities._

_Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information._

**Union:** Non Bargained

**Position** Director Compliance and Privacy – Investigations and Guidance

**Location** US:PA: Hershey | Professional | Full Time

**Req ID** 77886