General Counsel, VP of Compliance & Risk

Job Locations US-CA-Orange
Posted Date 3 months ago(5/6/2021 11:36 PM)
Job ID
2021-2183
# of Openings
1
Category
Administrative (Non-Patient Services)

Overview

PPOSBC has a new full time opportunity for General Counsel/Vice President of Compliance & Risk located in Orange County, CA.  The General Counsel/Vice President of Compliance and RIsk is responsible for the management, planning, development, and execution of affiliate legal, corporate compliance and governance, risk management, ethics, and enterprise risk management programs. Additionally, serves as PPOSBC Compliance Officer in accordance with federal regulations including but not limited to HIPAA regulations.  Further, serves as PPOSBC’s HIPAA Privacy Officer in accordance with federal regulations including but not limited to HIPAA regulations.  This position also oversees and manages PPOSBC’s security and business resilience programs and staff.  The General Counsel/Vice President of Compliance & Risk oversees and manages agency-critical programs and processes, core to the mission and/or multiple departments/functions.

 

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, Compliance, Patient Safety & Ethics:

  1. Advise affiliate leadership on applicable legal, regulatory and/or affiliate related corporate compliance/corporate governance, risk management, patient safety and ethics matters.
  2. Advise affiliate leadership on board governance compliance and risk mitigation.
  3. Work collaboratively with affiliate leadership towards optimum programs for agency compliance, risk management, patient safety and ethics matters.
  1. As applicable, review and/or draft affiliate policies and procedures for updates. Train staff and implement said updated polices post affiliate President/CEO approval.
  2. Establish effective working relationships and credibility within affiliate to support a culture of compliance, risk management, patient safety and ethics.
  3. As required, interface directly with various affiliate staff for compliance, risk management, patient safety and ethics matters.
  4. Manage compliance, legal and risk management staff.
  5. Manage interdisciplinary staff for affiliate legal, compliance, governance, risk and ethics matters.
  6. Monitor organizational compliance with internal policies and external regulatory requirements.
  7. 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.
  8. Oversee affiliate education and training programs that focus on agency compliance and corporate governance, risk management, patient safety, ethics and/or regulatory standards. This can include draft and/or distribution of related policies, procedures and other related materials.
  9. 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. This includes but is not limited to payer audits, governmental audits and PPFA Accreditation processes.
  10. Implement policies and procedures that encourage affiliate staff, and leadership to report suspected fraud, waste, and/or abuse, or any other potential noncompliance without fear of retaliation.
  11. Via the office of the CEO, report all affiliate legal, compliance, risk management, patient safety and ethics matters to the Audit & Compliance Committee of the affiliate Board of Directors.
  12. Prepare quarterly compliance reports identifying compliance issues and provide said quarterly reports to the Office of the President/CEO. Such reports include agency quarterly reports to the Audit & Compliance Committee of the Board of Directors, as well as staff Compliance/Risk/Quality-based committee agendas and minutes.
  13. Work collaboratively with affiliate leadership to resolve identified affiliate legal, compliance, risk management, patient safety and ethics matters. 
  14. Implement applicable affiliate compliance plans, initiatives and systems towards optimum corporate compliance, corporate governance, risk mitigation, patient safety and agency ethics.
  15. Communicateregularly with the affiliate office of the President/CEO regarding affiliate corporate compliance, corporate governance, risk, patient safety and ethics matters.
  16. At the direction of the Office of the President/CEO, review and advise the Office of the President/CEO and other designated staff on agency contractual matters and processes.
  17. At the direction of the Office of the President/CEO, review and advise the Office of the President/CEO and other designated staff regarding agency actual or potential claims and/or lawsuits.
  18. At the direction of, and in collaboration with, the President/CEO, oversee and manage agency external attorneys.
  19. In conjunction with affiliate Administration and administrative services, review and manage subpoenas served to the agency for subpoenas process compliance and risk mitigation.
  20. In conjunction with affiliate Patient Services department, review and manage Protected Health information releases processes for process compliance and risk.
  21. In conjunction with affiliate Patient Services department, review and manage patient medical-legal forms that are compliant with applicable State and/or Federal regulations.
  22. In conjunction with Office of the President/CEO and other senior staff as may be applicable, review and manage agency insurance portfolio for optimum risk mitigation and risk management.
  23. At the direction of the Office of the President/CEO, oversee external counsel processes.
  24. Provide general legal counsel as appropriate.
  25. Serve as affiliate corporate Compliance Officer, including HIPAA Compliance Officer.
  26. Serve as HIPAA Privacy Officer.

 

Protected Health Information ("PHI"):

  1. In coordination with organizational leadership and any applicable external legal counsel, develop, implement, and maintain affiliate policies and  procedure for protected health information in accordance with applicable regulatory, agency, and/or accreditation related guidelines and standards. 
  2. Manage investigation and reporting processes for potential or actual affiliate PHI incidents.  This included but is not limited to processes for reporting by staff, investigation and resolution of any potential compliance violations,(i.e., breaches of protected health information).  This also includes management or oversight of any affiliate Quality Assurance and Quality Improvement measures, as well as any applicable reporting to external agencies.
  3. Monitor affiliate PHI policies' effectiveness, and as applicable, provide recommendations and guidance on the same to the affiliate Senior Staff, general staff, and affiliate Board of Directors.
  4. Collaborate and coordinate with the affiliate HIPAA Security Officer for ongoing compliance auditing and monitoring programsinvolving staff, independent contractors and other business associates towards optimum affiliate privacy and security policies.
  5. Collaborate with leadership, key departments, and committees/structures to ensure the implementation, maintenance, enforcement, and update of appropriate documentation (e.g. Notice of Privacy Practices, authorization forms, investigation forms, etc.) as needed in compliance with federal laws, state laws and relevant accreditation standards.
  6. Independently or in collaboration with other affiliate team members and/or leadership, Performs/Directs risk assessments (i.e. protected information privacy and security audits, policies and procedures, trend analyses, audits, projects, and violation investigations) towards optimum affiliate compliance with external and requirements regarding PHI privacy and security; this includes administrative, physical, and technical safeguards in accordance with federal regulations.
  7. Facilitates affiliate privacy and security training through awareness activities providing education on organizational policies, procedures, and practices.
  8. Assigns staff delegates with authority to additionally act as HIPAA/PHI compliance and privacy coordinators as required/applicable.
  9. Provides affiliate leadership and strategic direction regarding privacy, confidentiality, and HIPAA/PHI compliance.
  10. Directs affiliate forms, policies and procedures regarding the maintenance of, release, disclosure and/or inspection of PHI.
  11. As applicable, reviews role-based access controls, oversees audits of access to PHI, and/or recommends appropriate action necessary as a result of audit activities.
  12. Serve as an internal resource/consultant to the organization on privacy compliance related activities.
  13. Maintain current knowledge of applicable federal and state health information privacy and security laws and applicable accreditation standards.
  14. Monitors advancements in information privacy technology to ensure organizational adaptation and compliance.

 

 Risk Management:

  1. Identify affiliate risk areas and assist in developing auditing, monitoring and oversight processes related to identify risks.
  2. Plans, organizes, integrates and evaluates the work of the affiliate agency-wide Quality Assurance and Risk Management committee. With staff, develops, implements and monitors work plans to minimize or eliminate risks.
  3. In conjunction with affiliate team members and leadership and in compliance with applicable federal and/or state regulations and, 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. 
  4. 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 the affiliate’s Disaster Preparedness Program and emergency procedures.
  5. 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.
  6. Reduce risk and ensure compliance with law with respect to agency security programs and processes.

 

ACCREDITATION/ARMS/PPFA

  1. In collaboration with the office of the President/CEO, and other affiliate leadership and team members, leads affiliate PPFA accreditation processes.
  2. In collaboration with the office of the President/CEO, and other affiliate leadership and team members, manages/oversees affiliate claims and/or incident submissions to ARMS and/or independent insurance administrators.
  3. Other duties as assigned by President/CEO.

 

Board/Governance/Regulatory:

  1. Manage draft of and review of Board Minutes.
  2. Manage draft of and review of Board Resolutions.
  3. Manage draft of and review of Audit & Compliance Committee of the Board agendas and minutes.
  4. Mastery of affiliate By-Laws and serve as a resource to other affiliate team members and leadership on affiliate Bylaws.
  5. At direction of the Office of the President/CEO, serve as a focal liaison to external counsel on affiliate By-Laws.
  6. At direction of the Office of the President/CEO, serve as a focal liaison to external counsel on affiliate claims/litigation/regulatory matters.
  7. In conjunction with Administration, and the Office of the President/CEO, manage legal, compliance, governance, quality and risk management of Board orientation, training and other processes.
  8. Other Board processes as assigned by the President/CEO.

Insurance: 

  • In conjunction with Office of the President/CEO and other senior staff as may be applicable, review and manage agency insurance portfolio for optimum risk mitigation and risk management.

This includes but is not limited to management and review of insurances issued by ARMS/PPFA as well as additional insurances procured through affiliate’s personal brokers.

 

Compliance/Risk Consulting:

  • As agreed upon and approved by all parties, consult with other agencies, including but not limited to other Planned Parenthood Affiliates, on optimum compliance and risk management processes and standards.

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 bar membership in good standing.

Minimum Education:

  • A Juris Doctorate from an accredited university is required.

Minimum Work Experience:

  • Minimum 10 years work experience in the majority of areas relevant to: corporate compliance, healthcare compliance, corporate governance, board governance, healthcare regulatory law, medical professional liability management, civil litigation, healthcare compliance, Federal and State protected health information regulations, organizational risk management, patient safety processes, security/law enforcement compliance and risk, and enterprise risk management. 
  • Five or more years’ experience at the VP level or equivalent role (e.g., officer, professional licensure roles)

 

Supervisory Experience:

  • Demonstrated ability as an effective leader including coaching and team-building skills.
  • Strong written, verbal and interpersonal skills.
  • Budgeting experience.
  • Excellent strategic planning skills.
  • Must be self-motivated and have the ability to work without direct supervision.

 

Other Requirements:

 

LANGUAGE SKILLS: 

  • 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 grants for publications that conform to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors.  

 

MATHEMATICAL SKILLS: 

  • Experience in all phases of the budget development and monitoring financial statements.  
  • Experience with legal/claims billing processes and billing statements.
  • Experience with insurance pricing, coverage and statements.

 

REASONING ABILITY: 

  • Ability to define problems, research data, collect data, establish, and monitor financial statements.
  • 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.
  • Must have excellent interpersonal, problem solving and communication skills.

 

ALSO:

  • Strong commitment to the mission, policies, goals and philosophy of Planned Parenthood. 
  • Excellent written and verbal communication skills. 
  • Ability to demonstrate mature judgment, initiative and critical thinking. 
  • Ability to relate to diverse communities.
  • Accuracy and attention to detail essential. 
  • Computer literacy is a must, with experience in spreadsheet and word-processing packages.
  • Ability to read, analyze, and interpret technical journals, legal, and regulatory
  • Mediation and negotiation skills.
  • Respect for confidentiality and demonstrated good judgment.
  • Ability to maintain rapport with superiors, peers and subordinates.
  • Ability to serve as an effective and collaborative leader and manager, including coaching skills.
  • Ability to think strategically, providing vision to department.
  • Must be self-motivated, self-directed demonstrated decision maker.
  • Maintain professional demeanor within the work environment. 
  • Corporate governance and administration experience.
  • Board governance experience.
  • Availability to work flexible hours, as required. 
  • Strong research skills
  • Ability and willingness to travel to and visit Planned Parenthood centers.

 

 

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 may also be 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.

Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion.

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