Key Responsibilities + Manage the day-to-day activities, including the supervision of assigned direct and indirect reports, of the Compliance Division of the AHS Corporate Compliance and Internal Audit Department. + Develop and update written internal standards of conduct and associated policies, procedures, and guidance pertaining to the implementation of the AHS Compliance and Ethics program and related fraud, waste, and abuse prevention initiatives. + Oversee the maintenance of the organizational-wide compliance reporting process and associated organizational-wide confidential and anonymous compliance hotline. + Provide, from a compliance perspective, oversight of organizational-wide privacy including, without limitation: (i) (a) HIPAA Privacy and Breach Notification Rules compliance; and (b) applicable State privacy law pertaining to patient information, employee information, and protected personally identifiable information, as well as applicable Federal and State privacy breach notification rules compliance; (ii) data breach determinations and follow up; (iii) investigations; (iv) risk assessment and analysis; (v) internal and external reporting; (vi) HIPAA training framework and program; (vii) the management and monitoring of business associate agreements and associated processes; and (viii) digital privacy compliance-related matters. + Develop and conduct organizational-wide compliance-related training and education for AHS new team member team member orientation, as well as for annual and adhoc comopliance training. + Prepare agenda materials for, and report out at, the various AHS Hospital’ compliance committees, as well as other compliance-related committees as directed by the VP of Corporate Compliance and Internal Audit, covering compliance program activities and associated metrics. + Develop and perform focused audit-related activities including, without limitation, the conduct of compliance reviews, the assessment of existing internal controls, and the performance of gap analyses, concerning organizational risk areas (whether such risks are predefined by regulation or regulatory guidance, or identified through organizational experience) for legal and regulatory compliance. + Develop and lead the ongoing (at least annual): (i) assessment of organizational-wide risks, including risk identification, scoring, prioritization activities; and (ii) championing, coordination, and facilitation of enterprise risk management activities. + Conduct, manage, and document investigatory activities in response to compliance-related complaints and concerns. + Perform ongoing and annual effectiveness assessments of the AHS Compliance Program. Experience Required: 10+ years compliance experience. (5+ years in healthcare compliance) Leadership Competencies Required: + Collaboration, business judgement, ability to manage, coach and mentor team, processed and projects. Education Required: + JD from an ABA accredited law school required with admission to practice law in at least one U.S jurisdiction. (Admission to NJ Bar preferred) + Certification in Compliance and Ethics or Healthcare Compliance by the Compliance Certification Board ("CCEP" or “CHC” designation, respectively) is required at the time of appointment, with CHC designation being preferred. + Certification as an Information Privacy Professional by the International Association of Privacy Professional ("IAPP")("CIPP-US" designation), or related certification issued by IAPP, Compliance Certification Board, ISACA, or ISC2, is preferred. ABOUT US At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical Center, Summit, NJ + Newton Medical Center, Newton, NJ + Chilton Medical Center, Pompton Plains, NJ + Hackettstown Medical Center, Hackettstown, NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: + 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years + Best Places to Work in Healthcare - Modern Healthcare + 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well Workplace": Wellness Council of America (WELCOA) + One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine + One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine + Official Health Care Partner of the New York Jets + NJ Sustainable Business EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.