Senior Manager, Healthcare Privacy and Compliance

2 days ago

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Pharmaceutical Strategies Group - PSG

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Healthcare Insurance • Pharmaceuticals • Consulting

Pharmaceutical Strategies Group - PSG is a company that specializes in optimizing pharmacy programs to unlock maximum cost savings and produce extraordinary outcomes. As part of the EPIC company, PSG serves to navigate the complex and ever-changing landscape of drug cost management. They provide pharmacy benefits consulting, clinical optimization, audits, and other specialized services to employers, health plans, and other organizations. The company is renowned for its data-driven insights and research, using their Artemetrx analytics platform to drive financial results and enhance program performance. PSG strongly advocates for their clients, providing independent and transparent advisory services dedicated to optimizing pharmacy operations and benefits. With over 30 years of pharmacy advocacy experience, they focus on delivering custom solutions and data-backed insights to help clients manage costs effectively and efficiently.

51 - 200 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• Lead the development, implementation, and continuous improvement of a comprehensive healthcare privacy and compliance program. • Ensure all organizational operations meet and exceed regulatory, governance, and client standards, including HIPAA, HITRUST, SOC2, and Medicare/Medicaid requirements. • Proactively identify and mitigate compliance risks across the enterprise. • Foster a culture of accountability, data security, and ethical practices throughout the organization. • Collaborate with executive leadership, business unit leaders, IT and security teams, internal departments, employees, contractors, and external stakeholders to ensure effective compliance management. • Promote compliance awareness and provide training to all relevant parties. • Develop, update, and enforce policies, procedures, and monitoring activities to guarantee compliance with all relevant regulations and contractual obligations, proactively adapting to changes in the regulatory landscape. • Oversee and continuously improve the auditing program, including planning audits, gathering and analyzing evidence, identifying deficiencies, and driving the implementation of corrective actions to strengthen compliance posture. • Serve as a trusted advisor to business units, providing expert guidance on certifications, regulatory requirements, and best practices for healthcare data privacy and security. • Chair and manage the compliance committee for relevant business units, facilitating cross-functional collaboration and ensuring alignment on compliance objectives and initiatives. • Continuously monitor, assess, and document compliance risks across the organization, maintaining a dynamic risk register and prioritizing mitigation strategies to address vulnerabilities and emerging threats. • Coordinate with internal teams to develop and execute comprehensive risk mitigation plans, ensuring timely resolution of compliance issues and fostering a proactive risk management culture. • Develop, maintain, and execute an incident response plan for compliance breaches, collaborating with relevant teams to investigate, report, and remediate incidents in accordance with regulatory requirements. • Design and deliver engaging training programs for employees and contractors, promoting compliance awareness, best practices, and the importance of data security throughout the organization. • Maintain accurate, up-to-date records, reports, and documentation related to all compliance activities, preparing and submitting detailed compliance reports to senior management and regulatory authorities as required. • Establish and track performance measures, goals, and reporting methodologies to evaluate and improve the effectiveness and productivity of compliance initiatives. • Collaborate with business units to ensure business continuity planning is fully aligned with compliance and regulatory requirements, supporting organizational resilience and preparedness. • Lead the timely and thorough completion of security risk assessments for current and prospective clients, ensuring all client engagements adhere to the highest standards of privacy and compliance.

🎯 Requirements

• Candidate must have a minimum of 5 years of experience leading healthcare data compliance initiatives with multiple cross functional stakeholders - Deep understanding of implementing and assessing controls in complex environments. • Strong knowledge of HIPAA, HITRUST, SOC2 and other relevant regulatory standards. • Strong written and verbal communication skills. • Strong analytical, problem-solving, and communication skills. • Exceptional attention to detail and a commitment to upholding the highest ethical standards. • Ability to collaborate and coordinate effectively with cross-functional teams and communicate compliance requirements clearly. • Diverse security and IT background with knowledge in multiple areas including policy, IT service management, networking, infrastructure, application development and information security-related standards and initiatives. • Self-motivated; able to work with minimal supervision.

🏖️ Benefits

• Generous Paid Time off • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave • Generous employee referral bonus program of $1,500 per hired referral • Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!) • Employee Resource Groups: Women’s Coalition, EPIC Veterans Group • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! • EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation • We’re in the top 10 of property/casualty agencies according to “Insurance Journal”