Job Description

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world’s first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost.

Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.

Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.

Avalon is a high growth company where every associate has an opportunity to make a difference. 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.

Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.

For more about Avalon, please visit our web site at http://www.avalonhcs.com.

About the Deputy Compliance and Privacy Officer position:

Reporting to the Chief Compliance Officer, 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 to the corporate office in Tampa, Florida is required.

Deputy Compliance and Privacy Officer– Essential Functions and Responsibilities:

• Provide oversight and direction in the development of all aspects of the compliance program;
• Prepare and present material for the quarterly Compliance and Quality Committee meetings, including coordinating contributions to the meeting from other departments, prepare meeting minutes;
• Serve as Privacy Officer;
• Investigate and document possible unauthorized disclosures of Protected Health Information;
• Notify covered entities of any unauthorized disclosure or breach of their Protected Health Information;
• Develop and present compliance related content at All Associate meetings;
• Oversee FDR compliance;
• Oversee monthly exclusion and Preclusion Checks;
• Oversee the administration of all new hire training and annual training and overseeing the maintenance of records of the same;
• Draft (or oversee) new compliance policies, the performance of the annual policies reviews, and the updating of compliance training materials;
• Coordinate with relevant business partners to develop and revise business policies and ensure business policies are being appropriately enforced and monitored;
• Manage Avalon’s conflict of interests policy, including overseeing the tracking of potential conflicts of interests and the reporting of the same;
• Oversee maintenance of sanctions log;
• Oversee/participate in Avalon’s responses to compliance and privacy audits;
• Participate in Avalon’s third-party vendor oversight program to promote compliance with all regulatory requirements including, but not limited to first tier, downstream, and related entities (FDRs);
• 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 the compliance liaison with government regulators to receive 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:

• Bachelor’s degree (may consider relevant work experience in lieu of a degree);
• Compliance certifications preferred but not required, e.g., CHC (Certified in Healthcare Compliance), CHPC (Certified in Healthcare Privacy Compliance);
• Expert knowledge of the Health Insurance Portability and Accountability Act (HIPAA Privacy Rules);
• 8+ years of healthcare compliance analyst experience;
• Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans; and
• 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:

• 10+ years general experience in a health care organization.

PM18

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