Compliance and Privacy Program Manager - Franklin, TN

Position Summary:

The Compliance and Privacy Program Manager plays a key role in supporting the implementation, maintenance, and continuous improvement of PhyNet’s Corporate Compliance and Privacy Program. Reporting directly to the Chief Compliance Officer, this position is responsible for ensuring that organizational practices adhere to applicable federal, state, and local regulations, with a particular emphasis on HIPAA and healthcare compliance standards.

This role requires close collaboration with internal stakeholders, including clinic leadership and staff, to develop and implement policies and procedures, conduct risk assessments, lead investigations, manage auditing and monitoring activities, and deliver education and training programs. The Program Manager also leads the development and execution of the annual Compliance and Privacy Work Plan and is a key partner in driving a culture of compliance across the organization.

Essential Functions:

To perform effectively in this role, the candidate must fulfill the following duties with or without reasonable accommodations.

• Lead and manage the organization’s compliance and privacy risk assessment processes, identifying and reporting on areas of high, medium, and low risk.
• Administer and maintain the PhyNet Privacy Monitoring Program; oversee monitoring for inappropriate or unauthorized access and disclosures in alignment with HIPAA Privacy Rule standards.
• Perform trend analysis and prepare comprehensive reports for the Chief Compliance Officer on privacy monitoring findings.
• Provide consultative support in the development and implementation of compliance and privacy policies and procedures.
• Design and maintain tools and frameworks for auditing and monitoring compliance and privacy programs; analyze results and prepare reports to ensure regulatory adherence.
• Coordinate internal compliance audits and monitoring reviews in accordance with federal and state regulations and organizational standards.
• Support the timely implementation and follow-up of corrective action plans resulting from internal or external compliance and privacy reviews.
• Develop and facilitate compliance and privacy education, including ongoing training programs and targeted sessions as needed.
• Promote awareness and understanding of compliance and privacy responsibilities through newsletters, intranet communications, events, and other internal campaigns.
• Manage systems for receiving, evaluating, and responding to complaints and concerns related to compliance and privacy. Conduct investigations, document findings, and oversee implementation of corrective actions.
• Track the escalation and resolution of reported concerns to ensure appropriate follow-through and documentation.

Knowledge, Skills & Responsibilities:

• Bachelor’s degree required, Master’s degree in healthcare administration, business, or a related field preferred.
• Minimum of 3–5 years of experience in healthcare compliance and privacy, including familiarity with physician billing practices and regulatory frameworks.
• Certification in Healthcare Compliance (CHC), Healthcare Privacy (CHPC), or equivalent professional designation is required (or must be obtained within 12 months of hire).
• Strong understanding of corporate compliance, auditing, privacy regulations, and legal frameworks in the healthcare industry.
• Prior experience with case investigation management and compliance hotline oversight is preferred.
• Excellent verbal and written communication skills, with the ability to work collaboratively across all organizational levels.
• Exceptional analytical, organizational, and time-management skills.
• Ability to manage multiple priorities in a fast-paced, dynamic environment.
• Demonstrated commitment to confidentiality, integrity, and ethical conduct.

This role requires a proactive, dependable, and detail-oriented individual with the ability to manage multiple tasks in a dynamic healthcare environment. The ideal candidate demonstrates a strong commitment to patient care and operational excellence.

 Physical and Mental Demands:

The physical and mental demands described below are representative of those required to perform this job successfully. Reasonable accommodations may be made for individuals with disabilities:

• Physical Requirements:
  • Occasionally required to stand, walk, and sit for extended periods.
  • Use hands to handle objects, tools, or controls; reach with hands and arms.
  • Occasionally required to climb stairs, balance, stoop, kneel, bend, crouch, or crawl.
  • Occasionally lift, push, pull, or move up to 20 pounds.
• Vision Requirements:
  • Close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Note:
This job description is intended to provide a general overview of the role. Additional responsibilities may be assigned, or duties modified by the department supervisor based on operational needs.