Atlantic Health System

VP, Chief Compliance, Privacy & Internal Audit Officer; Research Integrity Officer

Job Location(s) US-NJ-Morristown
Position Type
Full-Time
Shift
Days
Category
Management
Department
01810300- AHS Administration
Facility
Corporate Office - Morristown

Overview

Atlantic Health System is seeking a Vice President, Chief Compliance Officer at Morristown, NJ. The VP, Chief Compliance Officer directs a broad comprehensive program of internal auditing and regulatory compliance. This position is responsible for overseeing and ensuring the organization is in compliance with all laws, regulatory requirements, data privacy statutes, policies and procedures. In addition, the CCO is responsible for establishing standards and implementing procedures to ensure that the compliance programs throughout the system are effective and efficient in identifying, preventing, detecting and correcting noncompliance with applicable laws and required regulations. 

Responsibilities

As an executive leader for Atlantic Health, the Chief Corporate Compliance, Privacy and Internal Audit Officer and Research Integrity Officer will:

 

Corporate Compliance and Privacy

  • Serve as Chief Compliance Officer and Privacy Officer for AHS and various AHS entities and affiliates (e.g., Atlantic Medical Group, Atlantic Health Partners, Atlantic Surgery Center, Atlantic ACO).
  • Serve as executive liaison to Board of Trustee’s Audit & Compliance Committee. Prepare materials for quarterly meetings.
  • Serve as Chair of Senior Leadership compliance committee. Prepare materials for quarterly meetings.
  • Oversee administration of the compliance program including regular review of compliance policies. Implement applicable federal and state regulations and AHS policies.
  • Oversee, monitor and ensure the delivery of compliance training and education. Conduct compliance trainings for certain audiences (AHS Board of Trustees, Atlantic ACO governing board.
  • Prepare annual compliance effectiveness report.
  • Conduct certain-level compliance matters and investigations.
  • Assist internal legal counsel on contractual matters related to compliance representations, Deficit Reduction Act, Foreign Corrupt Practices Act, Business Associate Agreements
  • Serve as resource for Senior Leadership and Chair of Board of Trustees’ Audit & Compliance Committee.
  • Assist with due diligence for AHS acquisitions, partnerships and affiliations.
  • Oversee HIPAA privacy program. Ensure implementation of appliable privacy laws (e.g., NJ, GDPR).
  • Maintain, update AHS’ Notice of Privacy Practices.
  • Lead response to OCR audits.
  • Collaborate with Information Security and appropriate AHS leadership regarding privacy governance, administration and security. Lead privacy review and action related to cybersecurity.
  • Direct Report: Director, Corporate Compliance & IRB Advisor; Total FTEs: 5.

 

Internal Audit

  • Oversee development and execution of annual internal audit work plan.
  • Collaborate with AHS leadership regarding business and risk strategy.
  • Oversee AHS’ conflicts of interest program. Serve as ultimate reviewer of potential conflict of interest disclosures.
  • Serve as chair of AHS’ endorsements committee.
  • Co-lead AHS’ Enterprise Risk Management program.
  • Co-chair AHS’ drug diversion committee. Lead committee meetings.  Serve as resource for investigations.
  • Participate in AHS initiatives around Environmental, Social and Governance, Public Health Emergency, Enterprise Resource Planning.
  • Direct Reports: Director, Internal Audit & Enterprise Risk Management, Director, Clinical Internal Audit & Corporate Drug Diversion Management. Total FTEs: 8

 

Human Subject Research

  • Serve as AHS’ Research Integrity Officer.
  • Oversee human subject research compliance.
  • Maintain and update research compliance policies.
  • Conduct research analysis, investigations.
  • Ensure annual filing with Office of Research Integrity.
  • Review all Financial Conflict of Interest disclosures, create management plans, corrective actions.
  • Conduct focused trainings for research community.
  • Serve as resource for principal investigators, study teams.
  • Direct Report: Manager, Research Compliance; total FTEs: 1

Qualifications

IDEAL EXPERIENCE

  • Exceptional interpersonal, problem-solving, and communication skills. Demonstrated empathy, warmth, and inclusiveness.
  • A minimum of 5 -7 years of experience in healthcare compliance leadership.
  • Education and certification: BA/BS required. Healthcare Masters or JD preferred.  CHC and CHPC required or obtained within one year of employment.   
  • Experiences in leading corporate compliance, internal audit, clinical audit, healthcare regulatory environment, human subject research are needed.
  • Strong blend of management skills and technical expertise, demonstrated by superior planning, decision-making, leadership, and financial management skills/knowledge, with a focus on adding value to the bottom line of the business.
  • Proven ability to motivate and inspire people to change, humanely deliver difficult messages, and develop leaders.
  • Has built coalitions and facilitated collaborative relationships within and outside the organization; is community minded.
  • Has demonstrated creativity and innovation while being decisive and politically sophisticated. Additionally, experience leading and fostering innovation, either within health care or in a related industry.
  • Has initiated and implemented improvements to business practices within a specific discipline while managing the development and/or delivery of a significant element of the organization's change-management program.
  • Has worked as or closely with thought leaders, overseeing research programs and publishing reports from medical and clinical research.

 

Style and Attributes

Positive Leadership Attributes

  • Strong collaboration skills and desire to engage others in the process but does not delay for the sake of consensus; demonstrates urgency; makes well-considered decisions for the long-term.
  • Shows consistent integrity in decisions and actions.
  • Effectively manages ambiguity. Can manage a lot of moving parts at once.
  • Is future focused and can “see around corners” to anticipate opportunities.
  • Possesses a level of self-awareness and emotional intelligence required for working across many different constituencies and influencing diverse stakeholders; is respectful and adaptable to different styles and mindsets.
  • Brings leadership presence and confidence; can present and influence at senior levels while communicating openly.
  • Has the confidence to challenge others while realizing that they may not have all the answers.
  • Is courageous; can stand their ground and make difficult decisions or put forth bold, new ideas.
  • Can coach and develop talent effectively; invests time and energy in helping others grow.
  • Takes risks; is ok with 70% “go.” Seeks feedback to adjust along the way.
  • Tactfully handles difficult conversations with medical professionals.
  • Embraces and prioritizes diversity and inclusion efforts; is committed to building a workforce that is reflective of the community it serves.

 

Leadership Competencies

Thought Leadership

  • Business Insight. Applying knowledge of business and the marketplace to advance the organization’s goals.
  • Customer Focus. Building strong customer relationships and delivering customer-centric solutions.
  • Financial Acumen. Interpreting and applying understanding of key financial indicators to make better business decisions.
  • Tech Savvy. Anticipating and adopting innovations in business-building digital and technology applications.
  • Manages Complexity. Making sense of complex, high-quantity, and sometimes-contradictory information to effectively solve problems.
  • Decision Quality. Making good and timely decisions that keep the organization moving forward.
  • Balances Stakeholders. Anticipating and balancing the needs of multiple stakeholders.
  • Global Perspective. Taking a broad view when approaching issues, using a global lens.
  • Cultivates Innovation. Creating new and better ways for the organization to be successful.
  • Strategic Mindset. Seeing ahead to future possibilities and translating them into breakthrough strategies.

Results Leadership

  • Action Oriented. Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
  • Securing and deploying resources effectively and efficiently.
  • Plans and aligns. Planning and prioritizing work to meet commitments aligned with organizational goals.
  • Optimizes Work Processes. Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement.
  • Directs Work. Providing direction, delegating, and removing obstacles to get work done.
  • Ensures Accountability. Holding self and others accountable to meet commitments.
  • Drives Results. Consistently achieving data-driven results, even under tough circumstances.

People Leadership

  • Building partnerships and working collaboratively with others to meet shared objectives.
  • Manages Conflict. Handling conflict situations effectively, with a minimum of noise.
  • Interpersonal Savvy. Relating openly and comfortably with diverse groups of people.
  • Builds Networks. Effectively building formal and informal relationship networks inside and outside the organization.
  • Attracts Top Talent. Attracting and selecting the best talent to meet current and future business needs.
  • Develops Talent. Developing people to meet both their career goals and the organization’s goals.
  • Values Differences. Recognizing the value that different perspectives and cultures bring to an organization.
  • Builds Effective Teams. Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals.
  • Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
  • Drives Engagement. Creating a climate where people are motivated to do their best to help the organizations achieve its objectives.
  • Organizational Savvy. Maneuvering comfortably through complex policy, process, and people-related organizational dynamics.
  • Using compelling arguments to gain the support and commitment of others.
  • Drives Vision and Purpose. Painting a compelling picture of the vision and strategy that motivates others to action.
  •  

Self-Leadership

  • Stepping up to address difficult issues, saying what needs to be said.
  • Instills Trust. Gaining the confidence and trust of others through honesty, integrity, and authenticity.
  • Demonstrates Self-Awareness. Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
  • Self-Development. Actively seeking new ways to grow and be challenged using both formal and informal development channels.
  • Manages Ambiguity. Operating effectively, even when things are uncertain, or the way forward is not clear.
  • Nimble Learning. Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
  • Being Resilient. Rebounding from setbacks and adversity when facing difficult situations.
  • Situational Adaptability. Adapting approach and demeanor in real time to match the shifting demands of different situations.

 

Business Challenenges

Accelerating Success 

  • Address the challenges of an ever-changing regulatory landscape.
  • Managing balanced approach to risk.
  • Encourage and support development of a leading, effective and best practices compliance program

Enhancing Reputation 

  • Demonstrate credibility by communicating insights to all stakeholders and building a stronger organization in terms of process and talent.
  • Be visible in industry circles and external organizations to raise the profile of the AHS externally.

 

Leadership Challenges

Transforming Culture

  • Moving the system leadership from a “doing” to a “developing and empowering others” mindset to develop the next generation of AHS leaders and innovation for the network (e.g., artificial intelligence).
  • Redefining the expectations of what an effective leader does and driving results with a greater sense of urgency.
  • Getting the organization past old approaches to issues; helping them see the future and encouraging openness to new approaches.
  • Effectively identifying and dealing with burnout, designing proactive strategies to reduce it in the system.
  • Leading an increasingly diverse workforce.

 

Raising talent levels

  • Ensuring that team members embrace new standards for performance and develop new skills, including new technology, to enhance performance.
  • Hiring agile, collaborative, and emotionally intelligent talent who possess a competitive drive, demonstrate AHS values, and provide team-based care to our patients.
  • Providing leaders throughout the organization opportunities to make important decisions; prepare the next generation of leaders by providing stretch opportunities.

About Us

Atlantic Health System aims to deliver the highest quality, safety and care combined with the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families, and our employees.

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.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual or affectional orientation, national origin or nationality, citizenship status, disability, age, genetics, protected veteran status, ancestry, marital status.  

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