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Full-time
postgraduate degree, professional certificate
Posted 8d ago
~40 hrs/week
Responsibilities
The Chief Compliance and Privacy Officer leads the enterprise-wide compliance, ethics, and privacy programs across hospital, research, and academic operations. This role serves as the principal advisor to the Board and CEO while managing government inquiries, internal investigations, and regulatory risk assessments.
Requirements
Candidates must hold a Master's or Doctorate degree in a relevant field such as Business, Health Administration, Nursing, Law, or Medicine. Professional certification in healthcare compliance, privacy, or research compliance is required, along with extensive experience in regulatory frameworks and executive leadership.
Full job description
The Chief Compliance and Privacy Officer (CCPRCO) is accountable for the integrity, ethics, privacy, and research compliance program across Tamp General Hospital System — including hospital operations, ambulatory/medical group, academic affiliations, sponsored research, and clinical trials. Reports directly to an Executive Vice President and Board Audit & Compliance Committee.
Essential Functions:
Lead the Enterprise Compliance Program across the AMC system — hospital, medical group, research enterprise, and academic affiliations — ensuring alignment with the OIG's 7 elements of an effective compliance program.
Serve as principal compliance advisor to the CEO, Cabinet, and Board Audit & Compliance Committee, delivering reporting, risk updates, and executive-session briefings.
Direct the enterprise HIPAA Privacy & Security Program in partnership with the Chief Information Security Officer (Cyber Security), including breach risk assessments, OCR response, patient rights, and data-sharing governance.
Oversee the Research Compliance Program, including human subjects protections (Common Rule), FDA GCP, IRB liaison, NIH/PHS conflict of interest, clinical trial billing (Medicare Coverage Analysis), and research misconduct procedures.
Lead the annual enterprise compliance risk assessment and work plan, translating regulatory change and audit findings into a prioritized, board-approved roadmap.
Lead internal investigations and government inquiry response — OIG, DOJ, CMS, OCR, FDA, state AG — including disclosures (SRDP, OIG SDP) and Corporate Integrity Agreement (CIA) management.
Oversee coding, billing, and reimbursement integrity programs, including charge audits, payer audit defense, Stark/Anti-Kickback compliance, 340B, and EMTALA monitoring.
Direct the Code of Conduct, ethics hotline, and policy architecture, ensuring consistent standards, enterprise training (≥98%25 completion), and a strong speak-up culture.
Partner across the system with internal and external stakeholders to embed compliance into clinical, academic, and operational decision-making.
Master's Degree in Business, Health Administration, Nursing, or Doctorate Degree (JD, MD, PhD).
Certification in Healthcare Compliance, Healthcare Privacy Compliance, Healthcare Research Compliance, or Compliance & Ethics Professional.
Skills & Abilities:
Deep Regulatory Expertise — Comprehensive command of HIPAA Privacy/Security, Stark Law, Anti-Kickback Statute, False Claims Act, EMTALA, 340B, CMS Conditions of Participation, and state healthcare regulations.
Research Compliance — Working Knowledge of the Common Rule, FDA GCP, NIH/PHS FCOI, AAHRPP accreditation standards, IRB/IACUC oversight, export controls, and clinical trial transparency requirements.
Investigations & Enforcement Acumen — Proven ability to lead complex internal investigations, manage CIAs, OIG/DOJ/OCR/FDA inquiries, and execute voluntary disclosures with sound legal and ethical judgment.
Risk Assessment & Data Analytics — Skilled in enterprise risk methodology, compliance auditing, hotline trend analysis, and use of data analytics/AI tools to detect, monitor, and report compliance risk.
Executive Communication & Board Governance — Ability to translate complex regulatory matters into clear, actionable guidance for the Board, CEO, Deans, faculty, and clinicians, with strong written, verbal, and presentation skills.
Matrixed Leadership in Academic-Clinical Environments — Demonstrated ability to influence without authority across affiliated universities, faculty practice plans, GME programs, and physician enterprises, balancing independence with collaboration.
Program Building & Talent Development — Skilled at designing scalable compliance infrastructure, policy frameworks, training programs, and leading multidisciplinary teams in a complex AMC system.
Tampa General is a private not-for-profit hospital and one of the most comprehensive medical facilities in West Central Florida serving a dozen counties with a population in excess of 4 million. As one of the largest hospitals in Florida, Tampa General is licensed for 982 beds, and with over 15,000 team members, is one of the region’s largest employers.
Consistently recognized for world-class care, Tampa General Hospital is ranked as the #1 hospital in Tampa Bay by U.S. News & World Report for 2024-25 and is nationally ranked as among the top 50 hospitals in the nation in eight specialties. Additionally, Tampa General was ranked as “high performing,” or among the top 10% of hospitals in the nation, in five more specialties along with 12 procedures and conditions.
TGH partners with the USF Health Morsani College of Medicine to pioneer breakthrough treatments, conduct game-changing clinical research and train the next generation of health care professionals. TGH is the region's only academic health system, having been affiliated with the USF Health Morsani College of Medicine since the school was created in the early 1970s.
TGH is the area’s only Level I trauma center and one of two ABA-verified Adult & Pediatric burn centers in Florida. With five medical helicopters, we are able to transport critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. The hospital is home to the leading organ transplant center in the country, having performed more than 14,000 adult solid organ transplants, including the state’s first successful heart transplant in 1985. Tampa General Hospital is committed to serving all residents of West Central Florida. We provide comprehensive health services, ranging from wellness and primary care to the most complex specialty care and post-acute services.
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