York, PA | Leadership | Tracking Code: 85580

Deputy General Counsel - Risk and Compliance

Lyndsay Douglass
Lyndsay Douglass
Executive Recruiter

General Summary:

Under the general supervision of the Senior Vice President and General Counsel, develops and oversees the overall Risk and Corporate Compliance Programs for WellSpan Health including providing direct supervision for the Risk Management, Internal Audit, Privacy, and Compliance departments. Maintains current knowledge of health care regulations and takes such into account in developing annual Risk, Compliance and Internal Audit Plans.   Provides legal advice to WellSpan Health senior leaders, management, physicians, and other staff.  Researches and drafts agreements and legal memoranda, negotiates transactions and agreements, oversees the assignment of matters, mentors the teams, works closely with the General Counsel in the strategic and tactical planning of the Risk, Compliance, Privacy, and Internal Audit Departments, including overseeing implementation of Department priorities. Cultivates relationships with key stakeholders, participates in selecting and managing outside counsel, and establishing and enforcing WellSpan Health policies.  Serves as a trusted partner to the General Counsel and is a key contact for the Legal Department

Duties and Responsibilities:

The following are essential job accountabilities:

  1. Provides comprehensive legal counsel, representation, and oversight on the wide range of legal matters affecting WellSpan Health. Develops and oversees  integrated, system-wide risk, compliance and privacy programs.
  2. Serves as a role model for ethical management behavior, promotes an awareness and understanding of positive ethical principles and compliance with federal and state law, and assists in planning and identifying priorities for the risk management and compliance programs.
  3. In collaboration with the General Counsel, determines staffing and resources required for the efficient functioning of the Risk, Compliance, Privacy and Internal Audit Departments.  Supervises and mentors members of the Risk, Compliance, Privacy, and Internal Audit Departments , including overseeing assignment of work.
  4. In partnership with the General Counsel and the Deputy General Counsel – Healthcare, provides executive leadership for system-wide enterprise risk management programs.  Collaborates with Deputy General Counsel – Healthcare to identify and manage risk and allocate resources across all risk domains.  Provides periodic updates to senior leaders and board members.
  5. Regularly reviews the risk, audit, compliance and privacy programs and recommends appropriate revisions and modifications.
  6. Advises senior leadership and the WellSpan Health Board of potential compliance risk areas. Serves as a trusted and strategic advisor to WellSpan Health, hospital and service line leadership. Provides guidance on significant legal and business risks.
  7. Presents periodic and annual compliance reports and education to the Audit and Compliance Committee and senior management.
  8. Identifies and assesses areas of compliance risk for WellSpan Health and guides the Risk, Compliance, Privacy, and Internal Audit Departments to effectively prevent and/or detect violations of law, regulations, policies, or the Code of Conduct.
  9. Ensures the implementation of internal controls that are capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others working with WellSpan.
  10. Encourages the prompt and proper resolution and implementation of audit or review recommendations.
  11. Provides input and/or direction to Human Resource policies and procedures to discourage improper conduct and support conformity with the compliance, risk and privacy programs .
  12. Oversees all activities with respect to the conflict of interest disclosure process.
  13. Oversees system-wide education and communication programs that educate all team members and affiliated parties on the Code of Conduct, the Compliance Program, and other specific compliance areas.
  14. Develops and oversees the strategic auditing and monitoring plan for evaluating the performance of the Risk, Compliance, Privacy, and Internal Audit Departments .
  15. Oversees all aspects of the HIPAA privacy rule to ensure compliance throughout the organization.
  16. Serves as a trusted advisory on matters of cybersecurity.
  17. Recommends staffing levels, selects and assigns staff, evaluates performance, evaluates/tests competencies (as applicable), provides orientation, training and continuing education of staff, and initiates or makes recommendations for personnel actions.
  18. Develops, establishes, and implements goals, objectives, policies and procedures for the Risk, Compliance, Privacy, and Internal Audit Departments , and which guide and support the provision of the Departments’ services.
  19. Continuously assesses and improves the Risk, Compliance, Privacy, and Internal Audit Departments’  performance. 
  20. Assists in developing the Risk, Compliance, Privacy, and Internal Audit Departments’ budgets and in promoting good stewardship of WellSpan’s resources.


Minimum EducationDoctor of Law (J.D.)

Minimum Experience10-15 years Healthcare law with regulatory and compliance background.

Min Field Of Expertise: Healthcare law

Req Cert/Registration: License to practice law as in-house counsel in PA or able to obtain license within 6 months




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Why WellSpan Health?

Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

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