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Compliance & Privacy Specialist

3 months ago

Saugus, Massachusetts, United States Option Care Health Full time
Extraordinary Careers. Endless Possibilities.

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States.

With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.

Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.


As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.


Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members.

We are committed to hiring, developing, and retaining a diverse workforce.

Job Description Summary:
Assists with development, implementation and oversight of compliance and privacy program activities. Supports the execution of the Annual Compliance & Privacy Work Plan. Supports policy and procedure development, implementation and communication efforts. Leads investigations into compliance and privacy concerns, responds to inquiries from Option Care team members. Supports compliance and privacy projects and initiatives as assigned. Maintains files of reported matters.

Actively promotes visibility and awareness of the compliance and privacy program, including prepare and conducting educational presentations to all levels of staff across Option Care.

Assists with the coordination, implementation, and oversight of monitoring and audit programs pertaining to Company's compliance and privacy program.

Job Description:

JOB RESPONSIBILITIES:

  • Supports policy and procedure development; assists with facilitation, implementation and communication plans for new and revised policies and procedures; Provides oversight of adherence to Option Care policies and procedures.
  • Leads investigations into privacy concerns reported to the department.
  • Supports the coordination, implementation, and oversight of audit and monitoring activities related to the compliance and privacy program.
  • Assists with completing projects and initiatives on the Annual Compliance Work Plan. Works cooperatively with stakeholders throughout the organization to ensure successful and effective project/initiative execution
  • Collaborates with cross-functional teams to ensure that the processes and procedures in place are effective and efficient for achieving necessary compliance and pursuing business goals. Works closely with operational management to provide advice on the interpretation and implementation of compliance policies and to evaluate the compliance implications of planned business activities or process changes.
  • Monitors and interprets any changes in rules and regulations requiring updates in compliance policies and procedures. Ensures any updates are timely and communicated to stakeholders. Monitors to make sure changes and updates are made as necessary.
  • Prepares and presents compliance and privacy related education and training to staff throughout the organization.
  • Under direction, prepares responses to federal, state, and/or municipal regulators or law enforcement officials related to alleged noncompliant behavior, audits or other compliance related inquiries. Supports auditing and monitoring events to ensure compliance with privacy rules and requirements as well as other regulatory and legal requirements.
  • Identifies potential areas of compliance and privacy risk and ensures escalation to appropriate individuals or groups for corrective measure implementation and oversight. Monitors and maintains records of corrective measure completion.
  • Creates communications, internal messaging and launches initiatives to promote the compliance and privacy program; actively engages in activities and initiatives company-wide to proactively raise the visibility of the compliance and privacy program; proactively seeks out stakeholders to forge cross-functional partnerships and collaborative relationships.

SUPERVISORY RESPONSIBILITIES:
Does this position have supervisory responsibilities? i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc. No

BASIC EDUCATION AND/OR EXPERIENCE REQUIREMENTS:

  • Bachelor's degree and 2 years of progressive, direct experience in a healthcare compliance and privacy program, OR
  • High School Diploma and at least 4 years of progressive, direct experience in a healthcare compliance and privacy program.

BASIC QUALIFICATIONS:

  • Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
  • Experience evaluating information to determine compliance with standards, laws, and regulations.
  • Experience collaborating with both internal and external resources to develop strategies that meet department goals within budget and established timelines.
  • Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).
  • Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
  • Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font).

TRAVEL REQUIREMENTS:
Willing to travel up to 25% of the time for business purposes (within state and out of state).

PREFERRED QUALIFICATIONS:

  • Bachelor's degree in Healthcare Administration or Business-related field.
  • At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
  • Certification in Compliance as recognized by the Society of Corporate Compliance and Ethics and /or Health Care Compliance Association or other professional organization.
  • Preference for at least 2 years of direct experience in home infusion services compliance program.


This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position.

It is in no way to be construed as an all-encompassing list of duties.

Due to some state pay transparency laws, below is the minimum pay for the position:


Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Minimum pay is $61,163.18+

Benefits:

  • 401k
  • Dental Insurance
  • Disability Insurance
  • Health Insurance
  • Life Insurance
  • Paid Time off
  • Vision Insurance


Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.