Manager, Corporate Compliance and Privacy; Hybrid

Manager, Corporate Compliance and Privacy (Hybrid) – 25‑215

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

• Assist the Compliance/Privacy Officer with the Corporate Compliance and Privacy Program Elements.
• Maintain and update Compliance and Privacy Tools—including SAI
  360, SharePoint, databases, Excel workbooks, files, and folders—and prepare reports as required. Serve as the system administrator for SAI
  360, ensuring awareness of updates and the maintenance of the Policy, Privacy, and Compliance Modules. Provide support for the Audit and COI Modules as necessary. Keep Compliance Officer informed timely.
• Conduct a comprehensive review of Compliance and Privacy policies and procedures at least annually to ensure they remain current and aligned with regulatory requirements. Report to Compliance Officer all changes promptly.
• Promptly update, review, and maintain compliance and privacy playbooks and training materials. Report to Compliance Officer all changes promptly.
• Develop, update, manage, and coordinate the preparation of materials for Compliance and Privacy Program Committees and meetings, including agendas, data analysis reports, presentations, and minutes. Promptly gather and communicate essential information regarding Compliance or Privacy requirements to the Compliance Officer.
• Perform comprehensive research on complex questions to identify relevant regulatory or contractual obligations and promptly present the findings to the Compliance Officer.
• Collaborating with the Compliance/Privacy Officer and team lead coordinating project activities, identifying, documenting, and executing specific action items required for the effective implementation of process improvement initiatives. Design thorough test cases and scenarios to conduct testing and detect defects. Anticipate potential issues and develop alternative solutions while delivering timely updates to the Compliance Officer. Regularly review and monitor the issues log to confirm resolution of outstanding matters, reporting status to the Compliance Officer prior to solution deployment.
  
  Provide backup support to the team when necessary.
• Keep the Compliance/Privacy Office Project List up to date with all ongoing departmental projects. The list should include information such as the intended audience, project goals, project leader and team members, detailed next steps with deadlines, responsible personnel, and the completion date. Update this list before or after status meetings to reflect the latest status and upcoming actions. Present during Monday Morning weekly Team meeting.
• Promptly notify the Compliance or Privacy Officer of any potential compliance or privacy incidents to ensure proper coordination and remediation.
• Perform other Compliance or Privacy activities as assigned.

• Assumes primary responsibility for the initial screening, prompt investigation, and triage of FWA and other Compliance matters for Pri Med, Hill Physicians Medical Group, Inc., their affiliates, and related parties. Conducts, coordinates and manages thorough investigations encompassing data collection, analysis, interviews, and report preparation. Report all potential incidents and resolution steps to be completed to Compliance/Privacy Officer immediately.
• Conduct, coordinate, and manage investigations of potential FWA or compliance incidents, including but not limited to monitoring and performing tasks for the Compliance Hotline and Compliance incident emails, using the GRC SAI
  360 Compliance Incident Management Tool. Perform tasks such as intake of report, categorization of internal folder systems, investigation, risk assessment, response, reporting, escalation, documentation, tracking. Keep Compliance/Privacy Officer informed timely.
• Perform comprehensive research, analysis, and evaluation of changes to applicable statutes, rules, regulations, and compliance standards pertaining to federal and state Compliance, Privacy, and Breach Notification requirements utilizing…