Senior Corporate Counsel, Compliance & Privacy

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Senior Corporate Counsel, Compliance & Privacy in Anaheim, CA.

Under the direction of the General Counsel/CO/Senior-Vice President Compliance & Risk Management (“GC”), provides support to successfully execute agency legal, regulatory compliance, governance, risk management, ethics, audits, HIPAA, and information privacy and security programs.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:

• A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. 
• Benefits coverage starts after one full month of employment!
• Generous vacation, sick, and holiday benefits!
• Generous 401(k) matching contributions and more!
• To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Responsibilities

Essential Functions: Essential functions encompass the required tasks, duties, and responsibilities performed as part of the job and the reason the job exists.

Legal, Regulatory, Compliance, Privacy, Patient Safety & Ethics

Under the added executive guidance and management of the Office of the General Counsel/SVP:

• Advise on applicable legal, regulatory, and/or affiliate-related corporate compliance/corporate governance, risk management, patient safety, and ethics matters.
• Serve as an agency lead for agency-wide Internal Audits program—conducting detailed internal audits based on agency risk mitigation work plan.
• Serve as an agency lead for Accreditation. Manage the process from inception to resolution.
• Work collaboratively with affiliate leadership towards optimum programs for agency compliance,risk management, patient safety, and ethics matters.

• As applicable, review and/or draft affiliate policies and procedures for updates. Train staff and implement said updated policies post affiliate President/CEO approval.
• Establish effective working relationships and credibility within affiliates to support a culture of compliance, risk management, patient safety, and ethics.
• As required, interface directly with various affiliate staff for compliance, risk management, patient safety, and ethics matters.
• Monitor organizational compliance with internal policies and external regulatory requirements.
• As applicable, independently or in collaboration with applicable agency team members, investigate or supervise the investigation and/or resolution of agency legal, insurance, compliance, risk, patient safety, and ethics matters.
• As applicable, independently or in collaboration with applicable agency team members, oversee the implementation of agency corrective actions and monitoring in response to identified issues and audits, including but not limited to payer audits, governmental audits, and PPFA Accreditation processes.
• As assigned, prepare quarterly compliance reports identifying compliance issues and provide said quarterly reports to applicable senior management; such reports include agency quarterly reports for review to the Audit & Compliance Committee of the Board of Directors and Compliance/Risk/Quality-based committee agendas and minutes.
• Work collaboratively with affiliate leadership to resolve identified affiliate legal, compliance, risk management, patient safety, privacy, and ethics matters.
• Implement applicable affiliate compliance plans, initiatives, and systems toward optimum corporate compliance, risk mitigation, patient safety, and agency ethics.
• Work with other agency legal/compliance staff as applicable to support optimum internal and external customer service.
• At the direction of GC, work with external attorneys.
• Under the direction of the GC or CEO, provide general legal counsel as appropriate.
• Lead legal and compliance support for management of external audit processes.
• Lead legal and compliance support and generally oversee management of internal audit processes.
• Manage HIPAA/information privacy processes, including trainings, management of incidents, management of any applicable breach incident reporting, and root cause analyses and remediation as applicable.
• Lead interface with governmental agencies for HIPAA/PHI/PII management, audits, surveys, investigations, and compliance
• Agency Compliance training and management.
• HIPAA OCR Hi-tech SRA tool management in collaboration with IT department and other stakeholders.
• Telehealth HIPAA/PHI/PII processes management, including proactive security/privacy QM and risk plans.
• Mental Health and HIV heightened information privacy management, compliance, and risk mitigation.
• Mass data Breach risk mitigation and incident response plan(s).
• Revenue Cycle/Billing processes compliance and risk mitigation processes and plans.
• Agency RQM Work plan(s).
• Agency CQERM processes and plans/agenda templates.
• Manage agency Compliance Hotline, incident reporting system, sanction checking vendor system, and investigations and resolutions related thereto.
• Security/Facilities compliance (building codes, waste management, materials management, etc.)
• Communications and technology communications compliance and risk mitigation plans/processes.
• Grants Compliance.
• Assist in running agency corporate compliance program fundamentals.
• Insurance risk mitigation and compliance, along with collaboration with claims management and insurers to follow necessary processes, implement improvements, etc.
• Manage department staff as assigned, possibly including other attorneys, paralegals, and support paraprofessionals.

Risk Management: Under the Direction and Management of the agency General Counsel/CO/SVP Compliance & Risk Management

• Assist to identify affiliate risk areas and assist in developing auditing, monitoring, and oversight processes related to identify risks and providing advice and counsel to Board of Directors regarding same.
• Assist in organizing, integrating, and evaluating the work of the affiliate agency-wide Compliance, Quality Assurance, and Risk Management committee. With staff, develops, implements, and monitors work plans to minimize or eliminate risks.
• In conjunction with affiliate team members and leadership and in compliance with applicable federal and/or state regulations, organizes, supervises, and participates in the development and administration of a comprehensive risk management and loss control program, designs and implements risk management and mitigation measures and techniques, monitors the effectiveness of the techniques implemented; directs and oversees the development of new programs to improve workplace safety and reduce exposures to the affiliate; directs the investigation of accidents and injuries and the evaluation of claims and settlements.
• Independently or in collaboration with other affiliate team members or leadership, oversees special and periodic inspections of affiliate sites and operations to identify potential or actual risks.

ACCREDITATION/ARMS/PPFA: Under the Direction and Management of the agency General Counsel/CO/SVP Compliance & Risk Management (“GC”)

• Supports to lead affiliate PPFA Accreditation processes.
• Assists in submitting affiliate claims and/or incident submissions to ARMS and/or independent insurance administrators.

Non-Essential Functions:

• Other duties as assigned.

PHYSICAL REQUIREMENTS:

The physical requirements of this position are identified below. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Licensure and/or Certification Requirements:

• California State Bar membership: currently valid and in good standing. 

Minimum Education:

• A Juris Doctorate is required.

Minimum Work Experience:

• 3-7 years’ experience as a licensed attorney.
• 2-4 years’ experience in corporate or regulatory compliance, specifically within the healthcare industry 

Other Requirements:

• Ability to respond to common inquiries of complaints from customers, staff, regulatory agencies, legal professionals, members of the business community, and other agencies as applicable.
• Ability to write speeches, articles, and training presentations that conform to prescribed style and format.
• Ability to effectively present information to management, public groups, and staff.
• Ability to interpret and deal with several abstract and concrete variables.
• Ability to interpret legal and regulatory abstract and concrete variables.
• Ability to interpret professional liability principles.
• Ability to interpret corporate compliance and corporate governance principles.
• Ability to understand and evaluate complex revenue cycle processes and information and analyze for coding and billing accuracy and other regulatory compliance.
• Ability to review and understand medical charts, audit trails, and other electronic health record data as part of investigations, audits, and other reviews.
• Must have excellent interpersonal, problem-solving, and communication skills.

 Agency Standard Requirements:

• Strong commitment to quality healthcare and excellent customer service is required.
• Must thrive in a fast-paced, rigorous environment with changing priorities.
• Ability to meet deadlines and work under pressure.
• Must demonstrate high-level computer skills, including Microsoft Word, Excel, and Outlook. Electronic medical records experience is also required.
• This position requires travel to other sites and locations; if using a personal vehicle to meet this requirement, a valid CA driver’s license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required.
• Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.