Deputy Compliance and Privacy Officer at Avalon Administrative Services LLC

Tampa, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jan, 26

Salary

0.0

Posted On

15 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance, Privacy, HIPAA, Regulatory Knowledge, Risk Assessment, Policy Development, Training, Audit, Interpersonal Skills, Critical Thinking, Writing, Governance, Healthcare Regulations, Contractual Obligations, Investigations, Team Collaboration

Industry

Hospitals and Health Care

Description

About Avalon Healthcare Solutions: Avalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments. Supporting over 30 health plans and 44 million members nationwide, Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately, efficiently, and at the right time. Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support—driving measurable value, reduced waste, and improved clinical outcomes. With unmatched scientific rigor, deep clinical expertise, and a performance-based model, Avalon is redefining how diagnostics power personalized care and healthcare value. Learn more at www.avalonhcs.com [http://www.avalonhcs.com]. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve. For more information about Avalon, please visit www.avalonhcs.com [http://www.avalonhcs.com/]. Avalon Healthcare Solutions, and its affiliates, is an equal opportunity employer. This position description is subject to change at any time. As determined by the company based upon business needs, an employee in this position may be required to perform duties and take responsibility for work other than as described in this document. About the Deputy Compliance and Privacy Officer Position: The Deputy Compliance and Privacy Officer will serve as a healthcare regulatory compliance subject matter expert, as well as Privacy Officer as required by applicable privacy laws. This position is primarily responsible for the effective design, operation, and maintenance of all compliance program policies, procedures, and controls. This role will ensure compliance with all federal and state laws, including HIPAA and HITECH requirements, licensing requirements, and internal compliance policies/procedures. This position will implement appropriate initiatives, policies and processes, risk assessments, compliance related reports, education/training, and audit/monitoring. The Deputy Compliance and Privacy Officer will investigate reports of non-compliance and monitor corrective action plans. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida. Deputy Compliance and Privacy Officer – Essential Functions and Responsibilities: * Provide oversight and direction in the development of all aspects of the compliance program; * Create summaries regarding, and participate in oversight of, Avalon’s contractual obligations; * Performing (or overseeing) the drafting of new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials; * Coordinating with relevant business partners to develop and revise business policies and ensure business policies are being appropriately enforced and monitored; * Overseeing FDR compliance, including maintenance and completion of the Delegated Downstream Entity Compliance Attestation; * Overseeing monthly exclusion checks, Preclusion Checks, and the preparation of associated client reporting; * Overseeing the administration of all new hire training and annual training and various compliance related events (a compliance week) and overseeing the maintenance of records of the same * Coordinating compliance committee meetings, drafting compliance committee decks, meeting minutes, and preparing executive summaries for the board; * Managing Avalon’s conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the same; * Overseeing maintenance of sanctions log; * Overseeing/participating in Avalon’s responses to compliance and privacy audits; * Develop audit tools, plans, and schedules, and conduct compliance readiness audits as it relates to all new business functions. * Develop and implement risk assessment tools to identify potential deficiencies and facilitate development, monitoring, and implementation of corrective action plans. * Serve as the compliance subject matter expert on all business functions to internal and external stakeholders; * Serve as Privacy Officer; * Serve as the compliance liaison with government regulators to receive any state or federal correspondence or alerts on new initiatives; * Work across teams and departments, balancing competing objectives to accomplish goals and requirements; * Gather and respond to all regulatory or compliance audit requests for information; and * Use professional judgment and institutional knowledge to assess risk levels, conduct approved investigations, provide guidance on remediation planning, and prioritize remediation efforts. Deputy Compliance and Privacy Officer – Minimum Qualifications: * 3+ years attorney work experience * Bachelor’s degree and Juris Doctor. * Expert knowledge of the Health Insurance Portability and Accountability Act (HIPAA Privacy Rules) * 3+ years’ health care compliance and regulatory experience. * Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans. * Experience developing and deploying governance, risk, and compliance (GRC) systems, incident response practices; and risk assessment practices. * Experience interpreting, summarizing, and advising business personnel regarding health care related statutes, regulations, and contractual obligations. * Must be strong critical thinker and outstanding writer, able to explain complex issues orally and in writing. * Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management and ability to excel in a team environment. Deputy Compliance and Privacy Officer – Preferred Qualifications: * 5+ years general experience in either health care or financial organizations.

Responsibilities

The Deputy Compliance and Privacy Officer is responsible for the design, operation, and maintenance of compliance program policies and procedures. This role includes ensuring compliance with federal and state laws, implementing initiatives, and monitoring corrective action plans.