Chief Integrity Officer

Company: Shirley Ryan AbilityLab
Location: Chicago
Posted on: May 28, 2023

Job Description:

General Summary


The Corporation Compliance Officer and Privacy Officer will provide leadership and strategic direction in implementing and maintaining the SRAlab Corporate Compliance and Privacy Programs, including day-to-day oversight and monitoring, and promoting them to achieve consistently high levels of compliance.


The Corporation Compliance Officer and Privacy Officer will consistently demonstrate support of the SRAlab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.


The Corporation Compliance Officer and Privacy Officer will demonstrate SRAlab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRAlab Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.




Principal Responsibilities


The Corporation Compliance Officer and Privacy Officer will:

• 
  
• Implement and manage the Corporate Compliance Program:
  
• Supervise the review, revision and formulation of appropriate policies and procedures to meet the objective of the Corporate Compliance Program to guide SRAlab employees in compliance activities.
  
• Identify potential areas of compliance risk, develop and implement corrective action plans and/or policies for resolution of relevant issues, and provide guidance on how to avoid or deal with similar situations in the future.
  
• Monitor the healthcare regulatory environment for emerging trends and assist stakeholders in assessing any impact to the Institute and commenting to government agencies and other applicable parties.
  
• Monitor all functions related to research compliance, including adherence to pertinent laws, rules and regulations, and advise on research compliance matters for clinical trials management, billing, contracts, grants management and time and effort.
  
• Develop, coordinate and oversee educational and training programs to ensure that new and current employees and applicable agents are knowledgeable of, and comply with, the Corporate Compliance Program, and pertinent laws, rules and regulations.
  
• Develop and maintain a reporting structure to handle employee reports regarding known or suspected violations and ensure that all reports are appropriately investigated, including tracking and resolution of each complaint.
  
• Measure activities related to the Corporate Compliance Program and report data to the appropriate Committees, management, and governing bodies.
  
• Assist in the administration of the Enterprise Risk Management function specifically related to regulatory and process risk and provide direction for the activities to mitigate, at an acceptable level, the risks that may adversely affect SRAlab ability to achieve its internal control, financial and compliance goals.
  
• Manage the organizational process for and evaluation, education and reporting of conflict of interests to ensure patient care, business and research are conducted in a legal and ethical manner. Respond where necessary to external agents' requests regarding compliance matters.
  
• Establish and provides direction and management of the compliance hotline.
  
• Oversee the Corporate Compliance Committee; schedule and attend quarterly and other special meetings of the Committee, as needed.
  
• Interact and partner with the Office of General Counsel for assistance in interpretation of regulatory requirements and/or legal advice on issues, concerns and/or risks.
  
• Interact and partner with the Internal Audit Department on reviewing and/or assessing potential or actual risks, conducting audits and/or other projects.
  
• Report to, and take direction by the Corporate Compliance Committee and the Finance and Audit Committee of the Board of Directors for activities related to the Corporate Compliance Program.
  
• If Corporate Compliance Officer is someone other than a staff member of the Office of General Counsel, report to and interact with General Counsel, discuss and assess components of the Corporate Compliance Program
  
• Interact with outside counsel in conjunction with the Office of General Counsel and consultant to discuss and assess components of the Corporate Compliance Program.
  
• Serve as the HIPAA Privacy Officer and administer the HIPAA Privacy Office, which includes overseeing the establishment, implementation and adherence to policies on patient privacy, confidentiality and release of patient information.
  
• Chair the HIPAA Committee; schedule and attend quarterly and other special meetings of the Committee, as needed.
  
• Oversee the delivery of privacy training and orientation to all employees, volunteers, medical staff, applicable business associates and others as needed.
  
• Provide leadership in the planning, design, and evaluation of the organization's privacy and security related projects.
  
• Serve as a liaison to regulatory and accrediting bodies for matters relating to privacy and security, including, but not limited to, the U.S. Department of Health and Human Services Office of Civil Rights.
  
• Work closely with the HIPAA Security Officer, members of the electronic medical record team, and other information technology personnel to ensure that the organization's privacy protections keep pace with technological advances.
  
• Administer the right of the organization's patients to inspect, amend and restrict access to protected health information, when appropriate. Work with all organization personnel involved with any aspect of release of protected health information, to ensure compliance with the organization's policies and procedures and legal requirements.
  
• Ensure a process is in place for receiving, documenting, tracking, investigating, and taking action on all patients' complaints concerning the organizations privacy policies and patient breaches in compliance with the HITECH Act.
  
• Perform all other duties that may be assigned in the best interest of SRAlab .
  
  
  
  
  
  Reporting Relationships
  
  • 
    
  • Reports directly to the General Counsel with direct access to President and Chief Executive Officer and Finance and Audit Committee of the Board of Directors.
    
    
    
    
    
    Knowledge, Skills & Abilities Required
    
    
    
    • 
      
    • Master's Degree in a related field of Health Care required.
      
    • Certifications in Healthcare Compliance and Privacy preferred.
      
    • At least ten years of compliance work experience in a healthcare environment, preferably a hospital or academic medical center.
      
    • At least five years of privacy related work experience in a healthcare/provider setting.
      
    • Strong critical thinking and influencing skills across all organizational levels with an unbiased approach to situations.
      
    • Ability to manage conflict effectively while showing receptivity to the ideas and concerns of others.
      
      
      
      
      • 
        
      • Strong research and analytical skills
        
      • Excellent oral and written communication skills. Demonstrated positive, respectful, direct and open communications across all organizational levels.
        
      • Ability to maintain a high degree of credibility, independence, integrity, confidentiality and trust.
        
      • Effective time management, organizational and prioritization skills.
        
      • Ability to anticipate the needs of others and deliver with timeliness and accurately, sensing the urgency of the situation.
        
      • Strong leadership skill.
        
        
        
        The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
        
        
        SRAlab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Keywords: Shirley Ryan AbilityLab, Chicago , Chief Integrity Officer, Executive , Chicago, Illinois