Sr., Consultant, Compliance Program

  • Parkland Heath and Hospital System
  • Dallas, TX, USA
  • Nov 26, 2022

Job Description

The Senior Consultant of Compliance Programs assists with effective implementation and monitoring of Parkland’s Ethics and Compliance Program (“Program”) across the health system. The Manager's general duties and responsibilities encompass developing, implementing, and monitoring the Program’s requirements to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct. This includes adherence to the requirements and guidance set forth by various regulatory authorities including, but not limited to, the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ) and the Centers for Medicare and Medicaid Services (CMS).   Minimum Specifications   Education A bachelor's degree is required, master's degree preferred.   Experience Must have six (6) years of progressively responsible experience in a healthcare related administrative, financial or compliance role, preferably with a large, multi-faceted healthcare company or academic medical center. Experience with auditing and monitoring, education and training, conflicts of interest, federal exclusion screening, risk assessments and other healthcare compliance-related activities required.   Equivalent Education and/or Experience May have an equivalent combination of experience and certification in lieu of specific education only.   Certification/Registration/Licensure      Certification in a healthcare compliance-related specialty is required. Must be currently certified and in good standing with one of the following or obtain within 18 months of placement in the position: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified in Healthcare Privacy Compliance (CHPC) Certified in Healthcare Research Compliance (CHRC) Certified Professional Compliance Officer (CPCO) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Required Tests for Placement   Skills or Special Abilities Advanced computer skills and proficient with Microsoft Office applications. Detailed knowledge of compliance program requirements for hospitals and academic health systems. Demonstrates the ability to evaluate healthcare compliance issues and make appropriate recommendations. Special focus on federal exclusion screening, conflicts of interest, education and training, risk assessments, compliance program guidance and the interpretation and application of state and federal law. Strong oral and written communication skills and interpersonal skills. Able to communicate thoughts, ideas, information and messages with clear language, style, organization, and format appropriate to the subject matter, purpose, and audience. An active listener with the exercise of sound professional judgement. Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root-cause, communicate findings, and participate in the development of the solution. Detail-oriented with strong organizational and time management skills and the ability to effectively prioritize daily tasks. Capable of managing difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion. Demonstrates a high degree of integrity and practice ethical standards.   Responsibilities Assists in the development, implementation, execution, education, monitoring and continuous improvement of the core components of an effective compliance program, including but not limited to: compliance-related policies, procedures, and standards (i.e., Code of Conduct) designed to identify, prevent, and detect illegal, unethical, or improper conduct robust corrective action development and monitoring procedures to remediate identified violation formal education, training, and communications that are designed for a diverse workforce compliance risk assessment program conflicts of interest disclosure program federal and state exclusion screening program annual compliance work plan compliance-related key indicators for operations across the organization partnership with the Office of Talent Management to ensure appropriate enforcement of compliance-related standards and disciplinary guidelines for identified violations fostering a ‘speak-up’ organizational culture free from retaliation Participates in complex compliance projects and lead cross-functional teams in setting and managing milestones and deliverables to achieve stated outcomes Conduct data analytics and develop targeted metrics related to the Program Monitor external environment to ensure implementation of best practices Standardize risk-based compliance reporting to ensure the Chief Compliance Officer, Executive Leadership and various compliance committees are informed of risks to the operation and progress of compliance efforts Monitor the performance of the Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness Provide support to various compliance committees as necessary Perform other duties that may be necessary or in the best interest of the Program and organization   Job Accountabilities Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of 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.   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. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical Coding, Patient Care, Healthcare Administration, Medicaid, Medicare, Healthcare