SVP, Chief Compliance & Privacy Officer

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone.

Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The SVP, Chief Compliance and Privacy Officer leads all of AHN/AHNSSP’s compliance initiatives, including the design, development, implementation, and ongoing monitoring of an effective corporate compliance and privacy program; Medicare, Medicaid, managed care, and healthcare compliance; and regulatory compliance.

Ensures that appropriate controls and processes required to comply with federal regulators such as, but not limited to, Centers for Medicare and Medicaid Services; state regulators such as, but not limited to, CA’s Department of Managed Health Care as well as the Department of Health Care Services; and with contracted upstream managed care plans.

The CCPO will have the function of directing AHN/AHNSSP employees in regulatory compliance and will build and maintain a culture of compliance integrated with all aspects of business, administrative, and clinical operations across the organization. This leadership position reports to the CEO and President of AHN/AHNSSP and has direct access to AHN/AHNSSP’s Board of Directors.

Together with AHN/AHNSSP’s CEO and President and Board of Directors, the CCPO is authorized to implement all necessary actions to ensure the achievement of the objectives of an effective compliance program, including but not limited to development, communication, implementation, training, and oversight of all compliance activities related to health care laws, regulations, and policies that govern AHN/AHNSSP’s business.

Minimum Requirements

Bachelor’s degree required.

A master’s degree or Juris Doctorate (JD) is preferred.

Minimum 12 years of compliance program experience in the managed health care or insurance industry, participating in government programs required, e.g,. Medicare, Medicaid, Medicare-Medicaid program (“Medi-Medi”), etc.

Minimum of 5 years of supervision or lead responsibility.

Experience working with a large, multi-faceted healthcare organization with a matrixed reporting structure preferred.

Certification in healthcare compliance is preferred (e.g., CPC, CHC, CPA, CIA, or CCEP).

Proven track record in the areas of compliance auditing and monitoring, investigation, risk assessment, enforcement, and formulation of comprehensive audit policies, programs, and plans (HIPAA, Medicare, OSHA, etc.).

Knowledge and experience in state and federal information privacy laws.

Proven record of successfully leading and managing compliance teams.