Compliance & Privacy Officer at NorthCare Network

Marquette, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

27 May, 26

Salary

118560.0

Posted On

26 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance, Privacy, Policy Development, Regulatory Adherence, HIPAA, HITECH, Omnibus Requirements, Auditing, Monitoring, Billing Systems, FOIA Coordination, Medicaid Fair Hearings Response

Industry

Mental Health Care

Description

Description STATUS/HOURS: Competitive Wage, plus full-time benefits. Regular full-time/80 hours biweekly SALARY RANGE: $87,817.60 to $118,560.00. Starting salary will be determined based on education and experience. LOCATION: Marquette, Michigan - Many positions offer a hybrid work schedule with supervisor approval. ABOUT US: NorthCare Network is a Specialty Prepaid Inpatient Health Plan (PIHP) located in Marquette, Michigan and is responsible for the management and service array available to residents of Michigan’s Upper Peninsula with behavioral health needs covered by Michigan Medicaid and specialty grants for substance use disorder services. RESPONSIBILITIES INCLUDE: Under the supervision of the Chief Executive Officer, the Compliance & Privacy Officer is responsible for developing and overseeing policies and procedures to ensure the organization’s compliance with legal and ethical standards. This position manages adherence to federal and state laws, regulatory guidelines, and Centers for Medicare and Medicaid Services requirements. This position will work closely with many departments and provider agencies to ensure that activities and operations adhere to internal policies and external regulations. The Compliance & Privacy Officer shall also oversee ongoing activities related to the development, implementation, and maintenance of the organization’s privacy policies in accordance with applicable federal and state laws including, but not limited to HIPAA, HITECH, and Omnibus requirements. The Compliance & Privacy Officer upholds established standards and assists in ensuring compliance across the Provider Network. This position is the designated FOIA Coordinator for NorthCare. This position will serve as the respondent for Medicaid Fair Hearings for the Region. NOTICE TO APPLICANTS: Any offer of employment is contingent on a criminal background check, primary source verifications, exclusion, and reference checks. NorthCare Network is an Equal Opportunity Employer. Requirements QUALIFICATIONS: Bachelor’s Degree in Business Administration, Healthcare or Public Administration, Clinical Services, or related field preferred. Five years of experience in managed care or behavioral health service delivery working with regulatory, documentation, accreditation, auditing/monitoring, and/or billing systems is required. Other education or experience that provides the required knowledge, skills, and abilities to perform the job may be considered.

Responsibilities

The Compliance & Privacy Officer develops and oversees policies and procedures to ensure the organization adheres to legal and ethical standards, managing adherence to federal, state, and CMS requirements. This role also oversees the organization's privacy policies under laws like HIPAA and serves as the designated FOIA Coordinator and respondent for Medicaid Fair Hearings.