RUHS Compliance Program Manager

County of Riverside, CA - Moreno Valley, CA

Full-time - Manager

Moreno Valley, CA

Executive, Legislative, and Other General Government Support

About the position

Riverside University Health System (RUHS) seeks candidates for two RUHS Compliance Program Manager positions. The candidates selected for these roles will develop, coordinate, and assist in the planning, implementation, and maintenance of the RUHS compliance programs and activities; supervise support staff; and perform other related duties as required. The RUHS Compliance Program Manager is a journey level manager classification and reports to the RUHS Compliance and Privacy Officer and/or the Public Health Director. The RUHS Compliance Program Manager is expected to perform the full range of increasingly responsible and complex work assignments with occasional mentoring when needed. This class is characterized by the responsibility for the achievement of goals, standards, objectives, development, implementation, and monitoring of an effective compliance program. Incumbents assist the RUHS Compliance and Privacy Officer or Public Health Director in ensuring compliance with federal, state, and County regulations, policies and procedures related to medical privacy and information security, as well as to the provisions of the Health Information Technology for Economic and Clinical Health Act (HITECH). Incumbents may oversee a moderate amount of subordinate staff members and/or provide specialized knowledge for the department while providing some oversight of staff. The RUHS Compliance Program Manager differs from the RUHS Compliance and Privacy Officer classification in that the latter performs duties that require extensive knowledge and experience in the planning, organizing, coordinating, and directing of regulatory compliance programs. This class has been deemed eligible for the Performance Recognition Plan as set forth under Article 3, Section 311(C) of the County Management Resolution. Program eligibility requires employees to be in a leadership position, manage other employees or programs, and have significant influence on the achievement of organizational objectives.

Responsibilities

• Perform audits to assess compliance with various laws, regulations, policies, and standards such as those related to healthcare fraud, waste and abuse, billing and coding, clinical documentation, privacy and information security, research and ethics; maintain a system of reporting that provides timely and relevant information of all aspects of compliance issues.
• Participate in appropriate level of response, develop corrective action plans and conduct compliance investigations while maintaining confidentiality of information reported, as appropriate.
• Evaluate departmental continuous readiness to achieve compliance in the areas of healthcare privacy and security; assist in the development and implementation of privacy policies, procedures and breach notification as necessary.
• Develop and implement policies and procedures for filing and investigation of complaints related to HIPAA/HITECH Privacy, Breach Notification Rules and related County guidelines and procedures.
• Develop and monitor policies and procedures that establish standards for ensuring patient privacy protections, including by providing guidance to individual employees and departments on the HIPAA Privacy Rule, as appropriate.
• Document and retain all complaints received as required by HIPAA/HITECH; establish and maintain a mechanism for tracking and reporting the investigation and resolving such complaints.
• Develop and administer training for RUHS staff to promote awareness of compliance to regulatory standards.
• Provide guidance and assistance to departments on a variety of privacy and compliance auditing, and internal control matters; document findings and prepare reports.
• Supervise, assign, review, and evaluate the work performed by staff; direct the day-to-day operations of support staff.

Requirements

• Graduation from an accredited college or university with a bachelor's degree, preferably with a major in business administration, public administration, public health nursing, finance, accounting, or a closely related field to the assignment.
• Three years of professional, journey-level experience in healthcare compliance, which includes internal auditing experience and experience in the development and implementation of HIPAA and/or privacy compliance programs.
• Possession of current Healthcare Privacy Compliance (CHPC) certification is preferred.

Nice-to-haves

• A master's degree from an accredited college or university in any of the aforementioned majors is preferred.