System Director, Privacy

Overview

With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.

SYSTEM DIRECTOR, PRIVACY | Work From Home/Remote

WFH/Remote Anywhere In The US (Eastern/Central Time Zone Preferred). We operate in the Eastern Time Zone.

Reports to:

Vice President of Privacy and Compliance

Number of Direct Reports: 3

• Implements the BSMH Compliance program within assigned functional areas, including applying innovative, leading-practice approaches to identify, assess, and mitigate risks; auditing and monitoring; educating leaders on compliance regulations; establishing functional compliance committees; and implementing compliance policies.
• Implements system-wide compliance strategy and deployment of functional area compliance priorities and initiatives.
• Provides advice/consultation to BSMH Leadership regarding compliance and regulatory initiatives; assists in mitigating system-wide risks. Includes presentations and education sessions on emerging risk areas. Meets monthly with system and market leadership on compliance concerns and initiatives.
• Assists in the development and evaluation of system-wide operational policies and procedures.
• Leads advanced investigations across the ministry relative to their functional area; collaborates with Advice and Counsel, Medical Group, Patient Experience, Legal, and other BSMH Partners to conduct interviews, document investigatory steps, and recommend corrective actions.
• Serves as compliance leader with responsibility for communication to system and market leadership. Coordinates functional issues with the appropriate functional Director, Compliance.
• Leads and develops functional compliance directors; conducts system training; ensures consistent application of investigative protocols; maintains compliance tracking system integrity; aligns with BSMH strategic initiatives; and standardizes established processes across the compliance program.
• Develops and implements compliance monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud;
  Managed Care or Governmental Value-Based payment programs; and/or other enforcement agencies as part of the overarching BSMH compliance program.
• Evaluates and utilizes data analytics techniques, statistical analysis and modeling, and databases to detect and trend potential compliance issues; makes recommendations for program changes and develops education in response to identified trends.
• Supports and coordinates data for internal compliance leadership meetings, system and market leaders, and the BSMH Executive Compliance Committee.
• Identifies the need and develops education content and trending of non-compliant activities to enhance proficiency and understanding of standards and consequences of non-compliance. Prepares multi-faceted oral, written and electronic communications and presentations.

Certified in Healthcare Compliance (CHC) – Health Care Compliance Association (required)

• Masters - Healthcare, Business Administration or related field. (required)
• Bachelors - Healthcare, Business Administration or related field. (required)

• Eight to ten years of in-depth experience within healthcare operations or compliance-related activities.
• Demonstrated working knowledge of the Department of Health and Human Services.

• Translates enterprise compliance strategy into coordinated programs and workflows across multiple functional areas.
• Interprets complex regulations and operationalizes compliant practices across diverse service lines.
• Utilizes compliance data, dashboards, and AI-enabled insights to identify emerging risk patterns and inform mitigation.
• Oversees system-level auditing and monitoring processes, ensuring alignment with risk assessment priorities.
• Leads consistent execution of enterprise compliance policies and ensures harmonization across markets and departments.
• Manages complex compliance investigations with consistency, through documentation and cross-functional collaborations.
• Oversee the designs and delivery of targeted compliance education and training aligned with system priorities and risk trends.
• Measures effectiveness of compliance initiatives using qualitative and quantitative metrics, and recommends improvements based on results.
• Works closely with Legal, Audit, I&T, HR and Operations to embed compliance within business processes.
• Ensures appropriate use of compliance systems, tools, and vendor solutions supporting program management and monitoring.

• Translates high-level compliance strategy into actionable, measurable results across teams and regions.
• Builds strong partnerships with operational…