Director of Regulatory Compliance and Privacy Officer
Company: Parkland Health and Hospital System (PHHS)
Location: Dallas
Posted on: November 8, 2024
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 PurposeThe Director of Regulatory Compliance and
Privacy Officer has responsibility for managing the effective
implementation of the regulatory compliance and information privacy
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 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 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
SpecificationsEducation
- Bachelor's degree is required, master's degree
preferred.Experience
- Minimum eight (8) years' experience in healthcare operations or
compliance, preferably with a large, multi-faceted healthcare
company or academic medical center.
- Experience with information privacy and security-related
activities such as investigations and reporting, auditing, and
monitoring, education and training, risk assessments and
mitigation/remediation procedures.
- Experience with interpreting state and federal requirements
applicable to the organization, assessing their impact and making
recommendations to operational stakeholders to ensure
compliance.
- Experience leading teams and supervising staff
required.Equivalent Education and/or Experience
- May have an equivalent combination of experience and
certification in lieu of specific education
requirements.Certification/Registration/Licensure
- Certified in Healthcare Privacy Compliance (CHPC)
- Certified Information Privacy Professional/United States
(CIPP/US)
- Certified in Healthcare Privacy and Security (CHPS)
- Certified in Healthcare Compliance (CHC)
- Renewals must be submitted no later than 7 calendar days after
the current expiration date.Skills or Special AbilitiesSkills:
- Excellent verbal and written communication skills
- Able to create and deliver clear, concise, and effective
information to a diverse workforce through a variety of methods,
such as formal training, audit reports, informational webinars,
etc.
- Mastery-level proficiency with Microsoft applications,
telecommunications tools, software, and applications most commonly
used in the healthcare environment.
- Robust organizational skills with an attention to deadlines,
details, and accountability
- Responds well under pressure; accepts delegation while
simultaneously serving as a coach/mentor/supporter to
subordinates.
- Excellent critical-thinking skills with intuitive ability to
appropriately escalate matters based on potential risk to the
organization.
- Appreciation for the confidential nature of compliance-related
and attorney-client privileged matters; fosters a balanced "need to
know" work environment in support of Program objectives.Special
Abilities:
- A leader who will demonstrate, through word and action,
commitment to the Parkland Mission, Vision, Mandate, Values and
Code of Conduct
- An individual with high personal and professional
integrity
- A leader who will inspire confidence with key stakeholders,
build consensus, influence others, maintain credibility and
effectively lead teams.
- A team player and good listener who values the input of others
and their contributions.
- An energetic, results-oriented individual who is equally
innovative, creative and demonstrates a good sense of humor that is
appropriate for the work environment, not abusive or
offensive.Responsibilities
- Development, implementation, education, monitoring and
continuous improvement of the core components of an effective
compliance and privacy 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 operational auditing and monitoring procedures designed
to respond to alleged violations of law or regulations, policies,
procedures, and the Code of Conduct
- robust corrective action development to remediate identified
violations.
- formal education, training and communications regarding
compliance and privacy program operations matters that are designed
for a diverse workforce.
- risk assessment procedures
- annual 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.
- compliance and ethics reporting ("hotline") activities
- conflicts of interest disclosure program
- federal exclusion screening program
- Serves as the departmental project manager for system-wide
initiatives with a regulatory compliance component.
- Serves as the organizational Privacy Officer operating under
the direction of the Chief Compliance and Ethics Officer.
Responsible for the oversight of all activities related to
compliance with federal and state laws governing privacy of health
information.
- Manage cross-functional intradepartmental teams focused on
compliance activities and 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 regulatory or privacy-related 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.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 conduct 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.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.
Keywords: Parkland Health and Hospital System (PHHS), Plano , Director of Regulatory Compliance and Privacy Officer, Executive , Dallas, Texas
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