The Role will be responsible for leading InComm Payments Healthcare Compliance organization as we continue to expand our healthcare line of business and subsequent regulatory landscape. This leader is a strategic thinker with proven industry experience in evaluating and maturing healthcare compliance/compliance programs, and interacting with, and responding to, regulatory partners – including the government and CMS, and health plan sponsors. This person should also have exceptional skills with managing compliance programs across a variety of technologies, geographies, and industry frameworks.

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  Lead InComm’s Healthcare Compliance team and program.
• Grow and implement the strategic direction for organization-wide healthcare compliance.
• Identify risk and improve processes and outcomes across our many healthcare programs and operational departments.
• Interpret legislation or pending legislation related to healthcare compliance, including CMS, HITRUST, HIPAA, and Americans with Disabilities Act (ADA) as it relates to Website Content Accessibility Guidelines (WCAG).
• Map regulations and requirements to business scenarios addressing program governance, and the transmission, storage, retrieval, and protection of information assets or technology systems
• Develop strategies for ensuring organizational compliance with HITRUST, HIPAA, Privacy and Security rules and similar healthcare regulations and common security frameworks.
• Develop strategies and oversee operational monitoring of the Healthcare Compliance Program.
• Develop a program and supporting processes for the continual monitoring of compliance against HITRUST, HIPAA, CMS and other common healthcare security frameworks.
• Oversee performance of internal program risk assessments. Manage issues tracking and management through remediation, including self-identified issues, management action plans, and corrective action plans
• Establish and mature organization’s policies, procedures, and standards for healthcare compliance
• Work cross-functionally to track documentation of healthcare audits and assessments, their findings, and actions taken for remediation.
• Provide timely, accurate and appropriate-level program status to executives.
• Lead and direct the work of other employees. Duties may include hiring, professional development, performance management, and termination.

• Strong analytical skills.
• Ability to communicate healthcare compliance and security related concepts to a broad range of technical and non-technical staff both verbally and in writing.
• Ability to manage multiple tasks simultaneously and meet established deadlines.
• Ability to collaborate with all IT teams on security-related incidents, tasks and projects.
• Ability to work productively while remote and communicate effectively in a virtual team environment.
• Ability to stay current with new healthcare regulations, frameworks, controls and requirements.
• Demonstrated expertise in Medicare, Medicaid (CMS) and healthcare compliance.
• Demonstrated working Knowledge of CMS Chapter 21 regulatory guidelines and health plan sponsor contract and BAA review processes.
• Expertise in HITRUST, HIPAA and similar regulations and Common Security Frameworks (CSF)
• In depth knowledge of detailed HITRUST control requirements and experience defining processes and technologies to meet applicable controls.
• Experience synthesizing laws, regulations, contracts, and working with auditors, certification entities and regulators.
• Demonstrated ability to identify areas of compliance gaps and risk and design and implement a course of corrective action.
• Working expertise in problem/situational analysis.

• Demonstrated knowledge, skills, and abilities with implementing and overseeing an enterprise Americans with Disabilities Act (ADA) program as it relates to Website Content Accessibility Guidelines (WCAG).

• Experience working with an external health plan’s compliance team, and the ability to interpret Federal and State laws as they relate to Medicare and Medicaid and other healthcare regulations.

• 5+ years’ experience in compliance and/or regulatory control environments.
• 3+ leadership experience in compliance and/or regulatory control environments.

• 3+ leadership experience in compliance and/or regulatory control environments.

• A Bachelor’s degree in Compliance, Healthcare, Business Administration, or another related field is preferred, but not required.
• A Certified Healthcare Compliance (CHC), Certified CSF Practitioner (CCSFP) certification or other similar compliance related certification(s) are preferred, but not required. Upon hire you will be required to create a Career Development Plan to include receiving and maintaining certifications applicable to this position.

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  This position is eligible for the Employee Referral Bonus Program - Tier - III