Executive Director of Compliance (Chief Compliance Officer) - Full Time

Position Summary

The Exec Director of Compliance, Chief Compliance Officer (CCO), is responsible for developing, implementing, overseeing, and improving an effective system-wide compliance program. The CCO designs and manages Elliot Health System’s (EHS) compliance efforts, including investigating compliance-related issues, administration and enforcement of the organization’s compliance plan and policies, and coordinating, monitoring, and auditing various organizational activities that relate to or implicate potential compliance issues, in conjunction with compliance analysts/auditors as appropriate.

In discharge of these duties, the CCO will have unimpeded access to all employees and elements of the organization, including the Board of Directors/Trustees and the executive management team. The CCO also serves as Privacy Officer for the organization, providing strategic oversight of the enterprise privacy program, privacy risk management activities, regulatory compliance, breach response, and privacy education initiatives.

The Exec Director of Compliance, Chief Compliance Officer (CCO), is responsible for developing, implementing, overseeing, and improving an effective system-wide compliance program. The CCO designs and manages Elliot Health System’s (EHS) compliance efforts, including investigating compliance-related issues, administration and enforcement of the organization’s compliance plan and policies, and coordinating, monitoring, and auditing various organizational activities that relate to or implicate potential compliance issues, in conjunction with compliance analysts/auditors as appropriate.

In discharge of these duties, the CCO will have unimpeded access to all employees and elements of the organization, including the Board of Directors/Trustees and the executive management team. The CCO also serves as Privacy Officer for the organization, providing strategic oversight of the enterprise privacy program, privacy risk management activities, regulatory compliance, breach response, and privacy education initiatives.

• Oversees and monitors implementation of compliance activities, programs, policies and procedures across all EHS entities to ensure compliance with applicable federal and state laws, regulations, and organizational standards.
• Fosters and promotes a culture of compliance, integrity, accountability, and ethical conduct throughout EHS.
• Identifies the appropriate resources necessary to manage the Compliance department and programs, and establishes a budget to support same.
• Provides a leadership role in and direction to the Compliance Committee, ensuring organization-wide program growth and development to meet the evolving regulatory and operational environment, and ensuring thorough, current and effective policies and procedure review, education, and Board education and engagement.
• Provides leadership, direction, oversight, and performance management for Compliance Department staff, including establishing priorities, assigning responsibilities, supporting professional development, and ensuring the effective execution of departmental goals, compliance work plans, investigations, auditing activities and privacy functions.
• In concert with the team of compliance staff and operational managers, ensures that risk assessments are performed at least annually, with compliance work plans created and effectively implemented. Regularly reviews, revises and improves compliance work plans, and implements and modifies any necessary changes on an ongoing basis to improve the prevention, detection and remediation of any compliance issues.
• Provides oversight of the Institutional Review Board (IRB) Administrator and Human Research Protection Program.
• Regularly reviews the Compliance Program policies and manuals and recommends appropriate revisions and modifications.
• Develops, prepares and implements policies and procedures that establish standards for compliance, providing specific guidance to management, medical staff, and individual departments as appropriate, under the guidance of the Compliance Committee.
• Responsible for abiding by, upholding and…