RUHS Compliance Program Manager

Overview

Riverside University Health System (RUHS) seeks candidates for two RUHS Compliance Program Manager positions. These roles support the development, coordination, implementation, and oversight of RUHS corporate compliance programs and activities. The selected candidates will supervise support staff, ensure adherence to applicable regulations, and perform related duties as required.
Current certification in Healthcare Privacy Compliance (CHPC)
is strongly preferred.

About the Role:
The RUHS Compliance Program Manager is a journey-level manager classification reporting to the RUHS/County Compliance and Privacy Officer. Incumbents are expected to perform complex and increasingly responsible work with minimal supervision, contributing to the design, execution, and monitoring of effective compliance programs.

• Supporting compliance with federal, state, and county laws and regulations, including HITECH.
• Providing subject matter expertise on medical privacy and information security.
• Overseeing staff and managing program activities as assigned.
• Assisting in achieving compliance goals and strategic objectives.

This position is distinct from the RUHS/County Compliance and Privacy Officer, which entails broader responsibilities in directing and managing 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.

Recruiter contact information: Angela Levinson /  / alevinson

• 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 on all aspects of compliance issues.
• Participate in an 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.

Education: 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. A master’s degree in one of the aforementioned majors is preferred. Possession of current Healthcare Privacy Compliance (CHPC) certification is preferred.

Experience: 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…