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Corporate Compliance Specialist

MetroPlus Health Plan New York, NY

  • Posted: July 27, 2021
  • Full-Time

Corporate Compliance SpecialistJob Ref: 65516Category: ProfessionalDepartment: OFFICE CORPORATE COMPLIANCELocation: 50 Water Street, 7th Floor,New York,NY 10004Job Type: RegularEmployment Type: Full-TimeHire In Rate: $80,000.00Salary Range: $80,000.00 - $80,000.00About NYC Health + HospitalsMetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus' network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to...

enable New Yorkers to live their healthiest life.Position OverviewThe Corporate Compliance Specialist reports to the Director of Corporate Compliance and Privacy. The Corporate Compliance Specialist will support the oversight and management of Corporate Compliance and Privacy activities, including assisting in the review of privacy policies, investigating reports of non-compliance and privacy complaints or alleged violations, addressing and tracking inquires received via the privacy officer inbox, responding to all privacy related questions, managing breach notifications and remediation efforts, monitoring and auditing business areas, supporting the organization with corrective actions and contributing to the annual Compliance risk analysis and Work Plan. Ensuring the Corporate Compliance and Privacy Program and related Compliance and Privacy trainings are accurate and up to date.Job Description Assist the Director of Corporate Compliance and Privacy in the development of the annual risk assessment and implementation of the annual work plan.

Conducts privacy and compliance investigations. Ensures all privacy requirements for notifications are met, including issuing breach notifications when necessary and assisting with annual mailings. Manage the Privacy Officer email inbox, including tracking and addressing inquiries.

Research any Corporate Compliance or Privacy related issues and responding to any concerns. Works cross functionally with departments across the company to ensure the implementation of state and federal policy changes and updates for privacy and compliance activities. Supports the regular development and review of Compliance and Privacy policies and procedures for the general operation of the Plan's Corporate Compliance and Privacy Program.

Conducts auditing and monitoring activities for Corporate Compliance and Privacy as outlined in the Annual Work Plan. Support the Director of Corporate Compliance and Privacy with any required regulatory reporting. Contributes quality and timely data for the materials prepared for the Fraud, Waste and Abuse Committee, Internal Compliance Committee Meetings and Audit and Compliance Subcommittee of the Board of Directors.

Upon identification of non-compliance, provide support to business areas in conducting a root cause analysis and corrective actions, including guidance on methodology, identification of relevant regulatory requirements and any regulatory compliance context, and Compliance and Privacy review. Plays a critical role in driving the progress for corrective action plans throughout the organization. Coordinates the support for business areas in creating and updating monitoring metrics to assess continued compliance with regulatory requirements.

Other duties as assigned or requested.Minimum Qualifications A Bachelor's degree required. 3-5 years of Managed Care experience. 3-5 years' experience in a compliance, privacy, regulatory affairs, or government affairs function within a Managed Care Organization, prefe

MetroPlus Health Plan

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New York, NY
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Business

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