Associated Designations
🏥 Compliance Director
Purpose:
The Compliance Director leads the organization’s regulatory strategy, ensuring enterprise-wide adherence to federal, state, and industry-specific laws—especially in healthcare, insurance, and financial services.
Key Responsibilities:
- Develop and oversee a comprehensive compliance program across departments
- Monitor regulatory changes (e.g., CMS, OCR, DOJ) and update internal policies accordingly
- Conduct internal audits, risk assessments, and corrective action planning
- Serve as liaison to regulatory agencies and external auditors
- Lead compliance training and culture-building initiatives
- Advise executive leadership on legal and reputational risk exposure
- Oversee business associate agreements and vendor compliance
Ideal Background:
- Bachelor’s or Master’s in Law, Healthcare Administration, Risk Management, or related field
- Certifications: CHC (Certified in Healthcare Compliance), CRCM, or similar
- 7+ years in compliance leadership, preferably in healthcare or insurance
- Strong grasp of HIPAA, HITECH, Anti-Kickback Statute, Stark Law, and CMS guidelines
🛡️ HIPAA Compliance Officer
Purpose:
The HIPAA Compliance Officer ensures the organization’s full compliance with the HIPAA Privacy, Security, and Breach Notification Rules, safeguarding Protected Health Information (PHI) across all systems and workflows.
Key Responsibilities:
- Develop and maintain HIPAA-compliant privacy and security programs
- Conduct risk assessments and implement mitigation strategies
- Oversee employee training on HIPAA policies and PHI handling
- Monitor and investigate potential breaches; report to HHS/OCR as required
- Coordinate with IT and legal teams on ePHI safeguards and incident response
- Maintain documentation of compliance efforts and audit readiness
- Stay current with federal and state privacy laws (e.g., HITECH, HB 300 in Texas)
Ideal Background:
- Bachelor’s in Health Information Management, Law, or IT Security
- Certifications: CHPS, CHP, HCISPP, or equivalent
- Experience in healthcare operations, privacy law, and security protocols
- Strong understanding of administrative, physical, and technical safeguards
CHPS – Certified in Healthcare Privacy and Security