Director, Compliance & Privacy

🕒 5 days ago

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Logo of LifeMD

LifeMD

201 - 500 employees

📡 Telecommunications

⚕️ Healthcare Insurance

🧘 Wellness

Telecommunications • Healthcare Insurance • Wellness

LifeMD is a 50-state direct-to-patient telehealth company providing virtual primary care, diagnostics, and specialized treatments. They focus on men's and women's health, allergies, asthma, and dermatological issues. With a proprietary technology platform, a comprehensive medical group, and a nationwide mail-order pharmacy network, LifeMD aims to increase access to affordable healthcare. The company offers online consultations with board-certified doctors, covering various health concerns from weight management to chronic conditions, available anytime and anywhere.

📋 Description

• Develop and implement compliance initiatives with a focus on HIPAA and data governance, partnering with Security, Technology, Legal, Operations, and other teams to manage project priorities, deadlines, and deliverables • Identify gaps in compliance policy implementation across business units and regions, and collaborate with stakeholders to remediate • Monitor federal and state regulatory developments relevant to LifeMD's business • Draft, revise, and administer policies, procedures, and guidelines to ensure operational compliance with applicable laws and regulations • Manage the company's HIPAA breach assessment and notification processes, including responses to affected individuals and external agency investigations, corrective action plans, and remediation • Oversee internal compliance reviews and audits, including Business Associate Agreement (BAA) controls, medical record access audits, and similar activities • Manage payer contract compliance requirements related to data controls, third-party vendor audits, and offshore access to protected health information • Collaborate with Procurement, IT, and Security on the review and negotiation of BAAs, data protection addenda, and related documents • Lead and participate in risk assessments, gap analyses, corrective action plans, and other compliance audits • Manage compliance investigations and complaint resolution in collaboration with internal leaders and outside counsel, as appropriate • Prepare compliance tracking reports—covering data incidents, customer complaints, and business practices—to identify process improvement opportunities • Develop and oversee employee compliance training, with an emphasis on HIPAA, fraud and abuse, and topical issues of particular relevance to the business • Maintain current knowledge of applicable regulations and serve as a subject matter expert to the organization on related compliance requirements • Assist with ensuring clinical processes and revenue collection align with federal Fraud and Abuse laws, including the False Claims Act, Anti-Kickback Statute, Stark Law, and comparable state laws • Manage the company's compliance newsletter to keep employees informed on key compliance developments • Collaborate with the Chief Compliance Officer on the development and enhancement of the company's AI Governance program

🎯 Requirements

• Bachelor's degree in related field • 8+ years of healthcare compliance experience, with demonstrated expertise in HIPAA compliance and OIG compliance program guidance • Proven ability to proactively identify and manage risk, and to develop internal controls through cross-functional collaboration • Strong working knowledge of federal and state healthcare laws, regulations, and compliance standards, including HIPAA and OIG compliance program requirements • Experience managing compliance with federal healthcare Fraud and Abuse laws, including the False Claims Act, Anti-Kickback Statute, and Stark Law • Background in coordinating compliance efforts across multiple departments • Experience developing and revising key compliance program documents including compliance manuals, policies and procedures, work plan materials, training materials, committee agenda materials, and compliance alerts • In-depth understanding of privacy principles, policies, and technologies, including familiarity with privacy control frameworks • Sound risk-based judgment, enabling compliance efforts and resources to be focused where they matter most • Project management skills with the ability to meet deadlines, prioritize work, and manage multiple concurrent initiatives • Excellent written and verbal communication skills, with the ability to engage effectively with both technical and non-technical audiences • Experience in a managed care setting and/or with Medicare compliance requirements • Advanced degree, or healthcare compliance certification such as CHC, CPCO, CHPC; IAPP certification such as CIPP or CIPM • Digital health or telemedicine company experience

🏖️ Benefits

• Annual Salary: $150,000 - $165,000 • Health Care Plan (Medical, Dental & Vision) • Retirement Plan (Roth 401k) • Life Insurance (Basic, Voluntary & AD&D) • Flexible PTO Policy • Paid Holidays • Short Term Disability • Training & Development

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