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Director Compliance - Audit

Director Compliance - Audit

Parkland Health and Hospital SystemGrand Prairie, Texas, United States
10 days ago
Job type
  • Full-time
Job description

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission : the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

The Director of Compliance Audit has responsibility for managing the effective implementation of specific components of Parkland's Ethics and Compliance Program ("Program") across the health system. The Director manages a team of compliance professionals responsible for developing, implementing and monitoring audit components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics. This includes adherence to the requirements and guidance set forth by public and private insurance and managed healthcare payors and other similar funding or grant sources and various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS).

Minimum Specifications

Education

  • Bachelor's degree is required, master's degree preferred.

Experience

  • Minimum eight (8) years' experience in healthcare revenue cycle operations, audit or compliance, preferably with a multi-faceted healthcare company or academic medical center.
  • Experience with compliance auditing procedures across the spectrum of compliance-related topics.
  • Experience with risk assessment and audit plan development and continuous life cycle management to assess the adequacy and effectiveness of the compliance control environment.
  • Experience with data analytics to leverage analysis and insights across all stages of the audit lifecycle is preferred.
  • Experience leading teams and supervising staff is required.

    • Equivalent Education and / or Experience

  • May have an equivalent combination of experience and certification in lieu of specific education requirements.

    • Certification / Registration / Licensure

    Certification in healthcare compliance is required and must be maintained as a condition of continued employment. Specifically, currently certified and in good standing with one of the following :

  • Certified in Healthcare Compliance (CHC)
  • Certified Compliance and Ethics Professional (CCEP)
  • Certified Professional Compliance Officer (CPCO)
  • Certified in Healthcare Privacy Compliance (CHPC)
  • Certified in Healthcare Research Compliance (CHRC)
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS
  • Renewals must be submitted no later than 7 calendar days after the current expiration date.

    • Skills or Special Abilities

  • Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms.
  • Demonstrated ability to coach and influence for results.
  • Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization.
  • Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals.
  • Ability to work in challenging situations involving competing interests and high-level interdisciplinary groups.
  • Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
  • Strong analytical and problem-solving skills.
  • Knowledge of regulatory requirements and standards applicable to the healthcare environment.
  • Sound business acumen.
  • Proficient Microsoft Office and computer skills.

    • Responsibilities

    Operations

  • Manage cross-functional intradepartmental teams focused on compliance risk and audit activities in setting and managing milestones and deliverables to achieve stated outcomes
  • Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other risk and audit responsibilities of the Program
  • Coordinate timely and accurate responses to third-party audits and / or inquiries, including government agencies and contractors
  • Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice
  • Select, train, motivate, supervise, coach, mentor and develop employees
  • Chair or Co-Chair various compliance committees as necessary
  • Perform other duties that may be necessary or in the best interest of the Program and organization

    • Strategy

    Development, implementation, education, monitoring and continuous improvement of the core audit components of an effective compliance and ethics program, including but not limited to :

  • policies, procedures and standards designed to identify, prevent and detect illegal, unethical or improper conduct or ineffective operational procedures that create compliance risk
  • robust auditing and oversight procedures designed to respond to alleged violations of law or regulation, policies, procedures and the Code of Conduct
  • robust corrective action development to remediate identified violations
  • formal education, training and communications regarding compliance risk and audit matters that are designed for a diverse workforce
  • risk assessment procedures
  • work plan activities
  • metrics or key indicators of operational performance
  • partnerships with organizational leaders to facilitate timely reporting of potential compliance risk
  • fostering a 'speak up' culture free from retaliation

    • Regulatory

  • Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations.
  • Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards.
  • Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary.
  • Works collaboratively with leadership and / or Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary.
  • Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies.

    • Fiscal Management and Operating Budget

  • Operationally responsible for the financial performance of assigned area(s).
  • Promote activities to achieve operational efficiency.
  • Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets.
  • Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs.
  • Manage staffing levels within established targets.

    • Talent Management

  • Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve.
  • Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work.
  • Accountable for orientation, ongoing education and training, and competency verification for all employees.
  • Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends.
  • Annual performance appraisals are completed timely.
  • Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan.
  • Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent.
  • Ensure employee engagement survey participation rates and results meet established targets.
  • Mandatory requirements are completed timely by employees.
  • Required licensure, certification, and / or registry are current and in good standing for all employees.
  • Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action.

    • Professional Accountability

  • Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
  • Adheres to organizational policies, procedures, and guidelines.
  • Completes assigned training, self-appraisal, and annual health requirements timely.
  • Adheres to hybrid work schedule requirements.
  • Attends required meetings and town halls.
  • Recognizes and communicate ethical and legal concerns through the established channels of communication.
  • Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
  • Maintains confidentiality at all times.
  • Performs other work as requested that is reasonably related to the employee’s position, qualifications, and competencies.

    • Job Accountabilities

  • Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland.
  • Stays abreast of the latest developments, advancements, and trends in the field by attending seminars / workshops, reading professional journals, actively participating in professional organizations, and / or maintaining certification or licensure. Integrates knowledge gained into current work practices.
  • Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
  • Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department.
  • Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland.
  • Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.

    • #LI-SS2

    Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.

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    Director Compliance • Grand Prairie, Texas, United States

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