Manager Compliance and Privacy
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Position Summary
Reporting to the Director of Compliance and Privacy the Manager Compliance & Privacy is responsible for managing the day-to-day Ethics Compliance and Privacy program. This includes overseeing other team members and ensuring the programs effectiveness. Key duties include: conducting education investigations monitoring audits analyzing data and reports resolving compliance concerns and providing guidance and recommendations. The role requires strong organizational skills and proficiency in communication and interpersonal skills to consult with various internal and external stakeholders.
Job Qualifications
ORGANIZATION AND OVERSIGHT:
Staff Management: Provide managerial oversight of the compliance team members.
Policies: Direct employees to compliance resources and provide input on Compliance policy development from a System perspective. Oversee annual Compliance policy reviews as assigned.
Governance: Coordinate Compliance Committee meetings and prepare Board reports as assigned.
Culture: Promote a culture of compliance awareness of the principles of the Code of Business Ethics key compliance concepts and publication of the various compliance reporting mechanisms.
Reporting/Investigation: Maintain an open-door policy for in-person reporting open compliance and privacy matters for investigation. Oversee completion of investigations including fact gathering assessment of reported issues contemporaneous documentation and remediation tasks.
Education: Coordinate with leaders to monitor completion of required training assignments. Assist in the development and provide local focused education as needed. Serve as liaison/coordinator with HR Learning Services and others to determine training/education to facilitate employee awareness/understanding of the Compliance Program and its initiatives.
Exclusion Screening and Conflict of Interest: Assist with the review and validation of potentially affirmative exclusion screening results. Lead the conflict-of-interest disclosures process as applicable to Managed Joint Venture facilities.
Work Plan Development: Deploy and perform a risk assessment analyze data which lead to the development of an annual work plan.
Additional Support: Assist with other compliance-related activities to support the Managed Joint Venture and System Compliance program efforts as applicable.
COMMUNICATION AND TRAINING:
Research and Updates: Research laws regulations and guidelines. Distribute updates to functional areas.
Communication Material: Develop and implement communication vehicles such as newsletter articles brochures and other materials about compliance topics and initiatives.
Program Promotion: Communicate the importance of the THR Compliance Program and governance responsibilities to entity management.
Presentations: Present information and reports of compliance activities to various levels of THR management.
Knowledge Maintenance: Maintain sufficient knowledge of the THR Code of Business Ethics to answer questions/provide guidance.
Training Coordination: Serve as liaison with MyTalent/SuccessFactors personnel for training. Respond to all training questions. Develop standard brochures posters etc. for system use.
Implementation: Oversee implementation of compliance training and program elements for new facilities.
POLICIES PROCEDURES AND STANDARDS:
Policy Development: Develop for approval and publication System Compliance Program policies and procedures. Review and propose changes to other system policies as necessary.
Code Updates: Review propose changes and new section and participate in Code of Business Ethics updates.
Regulatory Research: Perform research when needed in connection with regulations and requirements. Assist others in understanding these standards and requirements.
MONITORING AUDITING AND ENFORCEMENT:
Audit Tools: Develop mechanisms surveys and other tools to audit and validate that THR System Compliance Program policies and procedures are being carried out.
Investigations: Oversee/participate in investigations of reported violations of THR policies and standards. Coordinate investigations with Legal counsel as appropriate.
Follow-Up: Monitor and follow-up on corrective actions taken or planned.
Governmental Inquiries: Assist in handling governmental inquiries regarding compliance matters as needed.
Scorecard Development: Assist in development of compliance scorecard elements and monitoring.
Training Reports: Assist in the development of training completion monitoring reports as needed.
Document Review: Audit/review documents as necessary.
Other Duties:
Participates on internal and external committees task forces and work groups as necessary.
Performs other duties as assigned.
Education
Masters Degree Health Administration Legal studies or related field Required
Experience
6 Years Healthcare compliance/privacy programs auditing/monitoring investigations and compliance training to include leadership/supervisory experience Required
Licenses and Certifications
CHC - Certified in Healthcare Compliance Upon Hire Required
SSLP - Six Sigma Lean Professional Upon Hire Preferred
PMP - Project Management Professional Certification Upon Hire Preferred
Skills
Executive leadership presence on issues concerning compliance and ethics matters
Clear concise and persuasive writing and presentation skills
Multitasking and project management experience
Ability to respond well under pressure
Skills in use of information systems databases Excel and Microsoft Word and other MS Office applications
Collaborative work with leadership in compliance and ethics program development
Strong organizational skills and an orientation to deadlines and detail
Knowledge of applicable privacy and U.S. compliance laws and regulations
Why Texas Health
At Texas Health Resources our mission is to improve the health of the people in the communities we serve.
As part of the Texas Health family and its 28000 employees were one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.
Learn more about our culture benefits and recent awards.
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Required Experience:
Manager
With 24 hospitals around Dallas-Fort Worth, Texas Health Resources provides care in most North Texas communities. Call 1-877-THR-WELL for more information.