Capital Health Plan
Capital Health Plan

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Compliance & Privacy Officer

Capital Health Plan

Tallahassee, FL • On-site

Full-time

Posted 7 days ago


Job description

ABOUT THE ROLE

We are seeking an experienced Compliance & Privacy Officer to serve as Capital Health Plan's designated Compliance Officer and Privacy Officer. This executive leadership role is responsible for providing strategic oversight of the organization's Corporate Compliance and Privacy Programs while ensuring compliance with applicable federal and state regulations, contractual obligations, accreditation standards, and organizational policies.

The Compliance & Privacy Officer partners closely with executive leadership and the Board of Directors to identify, assess, and mitigate compliance and privacy risks. This position oversees enterprise compliance initiatives, regulatory monitoring, investigations, auditing activities, privacy programs, and risk management efforts while promoting a culture of integrity, accountability, and ethical conduct throughout the organization.

WE'RE LOOKING FOR SOMEONE WHO HAS
  • Master's degree (MBA, MHA, MPH, or related field) or equivalent combination of education and experience.
  • Four to ten years of progressively responsible experience in healthcare compliance, health plan regulatory compliance, privacy, auditing, risk management, or related disciplines.
  • Strong knowledge of healthcare compliance principles, managed care regulations, and health plan operations.
  • Experience conducting compliance risk assessments, auditing, monitoring, investigations, and corrective action initiatives.
  • Ability to interpret complex regulatory requirements and translate them into practical guidance for leaders and operational teams.
  • Excellent executive communication, presentation, and relationship management skills.
  • Ability to manage highly confidential and sensitive information while exercising sound judgment and independence.
HIGHLY PREFERRED CANDIDATES ALSO HAVE
  • Juris Doctor (JD), Master of Healthcare Administration (MHA), Master of Business Administration (MBA), Master of Public Health (MPH), or other related advanced degree.
  • Ten or more years of healthcare compliance experience.
  • Experience within a health plan, managed care organization, HMO, Medicare Advantage plan, or payer environment.
  • Experience interacting with Boards of Directors, Audit Committees, CMS regulators, and external auditors.
  • Certification as a Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Information Privacy Professional (CIPP), or similar professional credential.
  • Experience leading enterprise compliance, privacy, auditing, risk assessment, and corrective action programs.
WHAT SUCCESS LOOKS LIKE IN THIS ROLE
  • Maintains an effective enterprise compliance and privacy program that meets regulatory, contractual, and accreditation requirements.
  • Proactively identifies, assesses, and mitigates compliance and privacy risks.
  • Provides trusted guidance to executive leadership and the Board regarding regulatory obligations and emerging risks.
  • Oversees timely investigations, auditing activities, corrective actions, and privacy response processes.
  • Strengthens organizational awareness of ethics, compliance, privacy, and accountability.
  • Builds productive relationships with regulators, auditors, providers, executives, and business leaders.
ABOUT CAPITAL HEALTH PLAN (CHP)

Capital Health Plan is a locally based, notforprofit health maintenance organization that has served the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver highquality, affordable, and patientcentered health care, CHP is nationally recognized for its strong clinical outcomes, operational excellence, and commitment to the communities it serves.

CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of any legally protected status.


Must have the ability to pass a background check and drug screening test.


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About Capital Health Plan

Sourced by ZipRecruiter

In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Tallahassee, FL, US

Year founded

1982