Director of Compliance & Privacy

1 hour, 21 minutes ago
Full-time
Lead
Operations
Provider1st

Provider1st

Provider1st is a healthcare platform dedicated to reducing administrative burdens for providers and ensuring proper reimbursement. By centralizing incentives and action items for all payers and patients, Provider1st enables providers to focus on patien...

Health Care Providers & Services
251-1K
Founded 2005

Description

  • Develop, maintain, and scale a comprehensive compliance program aligned with healthcare regulations, ROI standards, and company growth.
  • Serve as the internal subject matter expert on HIPAA, HITECH, state medical record laws, information blocking rules, and related disclosure requirements.
  • Create and maintain policies, procedures, controls, and governance processes that support compliant operations.
  • Partner with executive leadership, Operations, Customer Success, Sales, IT, and Legal to embed compliance into business processes and customer delivery.
  • Oversee compliance with the HIPAA Privacy Rule, Security Rule, Breach Notification Rule, and related federal and state privacy requirements.
  • Ensure proper handling of medical record requests, subpoenas, authorizations, patient requests, continuity of care requests, and third-party audit requests.
  • Monitor regulatory changes and translate them into practical guidance for internal teams.
  • Design and manage internal audit programs across ROI operations, quality assurance, access controls, documentation, and customer workflows.
  • Lead preparation for customer audits, security reviews, compliance questionnaires, and due diligence requests.
  • Maintain a risk register and lead incident response, including investigation, root cause analysis, corrective actions, and breach assessment support.

Requirements

  • 8+ years of experience in healthcare compliance, privacy, regulatory affairs, health information management, or a related role.
  • Deep working knowledge of HIPAA, HITECH, healthcare data privacy requirements, and medical record disclosure regulations.
  • Experience in Release of Information, Health Information Management, healthcare services, provider operations, or adjacent healthcare technology/services environments.
  • Proven ability to build or scale compliance programs, policies, controls, and training in a growing organization.
  • Experience managing audits, compliance reviews, risk assessments, corrective action plans, and incident response processes.
  • Strong executive communication skills with the ability to translate complex regulatory requirements into practical business guidance.
  • Experience working with ROI vendors, provider groups, MSOs, health systems, or ambulatory healthcare organizations is preferred.
  • Familiarity with EMR access workflows and systems such as Epic, Oracle Cerner, eClinicalWorks, Athena, or similar platforms is preferred.
  • Experience supporting HITRUST, SOC 2, ISO 27001, or similar certification readiness is preferred.
  • Healthcare compliance certifications such as CHC, CHPC, RHIA, RHIT, CIPP/US, or similar credentials are preferred.

Benefits

  • Health, dental, and vision insurance.
  • Paid time off (PTO).
  • 401(k) retirement plan.

Interested in this position?

Apply directly on the company website

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