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General Counsel Chief Compliance and Privacy Officer

Health Plans Inc
3 hours ago
Full-time
On-site
United States
Counsel

 

General Counsel and Chief Compliance and Privacy Officer at HPI


Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.


What we do

 

HPI is unique. A respected industry leader that’s been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.


Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service. 

 

What you’ll do

 

The General Counsel & Chief Compliance and Privacy Officer will be responsible for: building strategic and comprehensive legal, compliance and privacy programs that develop, implement and maintain policies, procedures, processes and programs that enable consistent, effective compliance and/or privacy practices, reduce legal risk, and ensure operations of the company are within legal obligations. The General Counsel & Chief Compliance and Privacy Officer will: 1) ensure compliance and adherence to applicable laws and regulations and accreditation standards; 2) minimize risk; 3) ensure the confidentiality of protected health information (“PHI”); and 4) promote a culture of compliance and adherence to applicable laws, regulations and accreditation standards throughout the HPI organization. In addition, the General Counsel & Chief Compliance and Privacy Officer will review documents, agreements, and contractual obligations and their terms while serving as a key resource to advise on risk mitigation, legal, compliance and/or privacy matters


 

In this role, you’ll also: 

  • Lead and oversee the development, implementation, and on-going monitoring of the organization’s legal; compliance; and privacy programs.


  • Analyze client, vendor, and other third-party requests for disclosure of PHI, identify and issue appropriate privacy-related agreements (e.g., Business Associate Agreement, Non-Disclosure Agreement). Review, draft and negotiate privacy related agreements. Maintain an agreement database. 



  • Develop, implement, review, update, and maintain privacy focused policies, procedures, processes, and programs. Maintain current knowledge of applicable privacy laws and regulations. Develop and implement changes to privacy focused policies, procedures, processes, and program as appropriate. Advise the organization on applicable legal, regulatory and compliance requirements related to privacy. 


  • Develop, implement, review, update, and maintain compliance focused policies, procedures, processes, and programs, including those needed to demonstrate a robust compliance program to accrediting agencies. Maintain current knowledge of applicable laws, regulations, and accreditation standards. Develop and implement changes to compliance focused policies, procedures, processes, and program as appropriate. Advise the organization on applicable legal, regulatory, compliance and accreditation requirements to ensure adherence. 


  • Manage the development, delivery, and completion of legal, compliance and /or privacy trainings. Review and update training materials on legal, compliance, accreditation and /or privacy topics. Create and deliver specialized educational programs for key roles and responsibilities that mitigate risk from the entities legal, privacy, compliance or accreditation obligations. 


  • Establish and Chair a Compliance Oversight Committee. Provide regular reports detailing privacy or compliance initiatives and the status of operational activity to senior management. Identify and present changes to legal, privacy, accreditation or compliance obligations and matters of significance or urgency to the attention of senior management. Recommend improvements to policies, procedures, processes, and program in order to risk mitigation and ensure adherence to legal, compliance, accreditation and/or privacy obligations. Develop and document an annual work plan of the Committee’s initiatives and activities. 


  • Coordinate and review all workflow to and through all external legal counsel for all areas, including in collaboration with Human Resources. Manage all outside counsel relationships including billing.


  • Conduct and/or participate in annual privacy, security and compliance risk analysis and on-going monitoring activities. 


  • Participate in internal and external audits related to privacy, security, accreditation, and compliance practices. Oversee the implementation of corrective actions. 


  • Responsible for receiving, tracking, documenting, investigating (to include completion of a risk assessment) and taking action on all reports of (i) potential privacy related incidents or complaints; or (ii) compliance-related incidents or complaints including those related to accreditation. Direct the process for reporting incidents as required by applicable legal, accreditation or contractual obligations. 


  • Responsible for review, draft and negotiation of all contractual agreements. 


  • Function as a key resource to advise on internal organizational legal, compliance, accreditation, or privacy matters.


  • Duties and projects, as assigned requiring legal, compliance, accreditation or privacy expertise as assigned by the General Counsel. 


  • The incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice.


 



What you bring

  • Bachelor’s degree and JD required. 
  • CIPP, CIPM, CHC, CHPC credential a plus
  • Admission to the Bar in one or more states where the Company does business.
  • 7 or more years of experience in health care privacy, legal and compliance matters require

Bonus points if you have experience with:

  • Experience with Utilization Review Accreditation Commission matters a plus.
  • Experience with Service Organization Controls reporting and audits a plus.

 

Why choose us?

  • We’re a people-first company and value giving back to our community. Ask us about our volunteer opportunities.
  • Our space is a reflection of who we are—innovative, open and collaborative.
  • We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks. 
  • Need to reenergize? When at our Westborough headquarters, take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms. 

 

Our Benefits Package


We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life, including:


  • Medical, Dental and Vision and Prescription Drug Coverage
  • Fitness Reimbursement Benefit
  • Employee Assistance Program
  • Flexible Spending Account & Health Savings Account
  • 401(k) and Quarterly Bonuses
  • Generous Paid-Time Off & Volunteering Opportunities
  • Educational Assistance & Professional Development Opportunities


So, think you want to join the HPI team? We hope to hear from you!


You can read more about us at hpitpa.com/about-us/careers/

 

EEO/AA/M/F/Vet/Disability Employer