WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Director oversees the day-to-day activities of the corporate compliance program, functioning as an independent and objective body. This position oversees compliance for Southwestern Health Resources Accountable Care Network. The Director evaluates compliance with Company policies, laws, and regulations, as well as investigates issues/concerns within the organization. The position provides strategic direction to management on compliance and is responsible for ensuring that the Company compliance program is effective and efficient in identifying, preventing, detecting, and correcting noncompliance. This position reports directly to the Chief Compliance Officer for SWHR/UT Southwestern. The Director exists: As a channel of communication to receive and report on compliance issues and use appropriate resources for investigations and applicable resolution; to provide guidance to the Company on policies, laws and regulations, compliance risks and leading compliance practices; to assist the business units in assessing internal strengths, weaknesses and helping close gaps to ensure Company objectives are met; and to, along with Company leadership, create a culture of compliance within the organization. The Director, together with the Chief Compliance Officer and the Corporate Compliance Committee and Audit and Compliance Committee of the Board, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
- Learn more about these and other UTSW employee benefits!
ESSENTIAL FUNCTIONS
Job Duties
- Develops, initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent, detect, and correct illegal, unethical, or improper conduct.
- Develops and routinely reviews and updates, as necessary, the Compliance Plan and Code of Conduct to ensure continuing currency and relevance in providing compliance guidance to management and employees.
- Acts as an independent review and evaluation body to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved. Collaborates with other departments (e.g., Risk Management, HR, etc.) to direct compliance issues to appropriate existing channels for investigation and resolution. Consults with internal and external counsel, as needed, to resolve difficult legal compliance issues.
- Performs and/or oversees annual compliance risk assessment to identify organizational risks. Based on the results of the risk assessment, works with leadership on creation of risk profile, metrics, workplan and corrective actions.
- Provides reporting on a regular basis, and as directed or requested, to keep the Corporate Compliance Committee, Compliance and Audit Committee of the Board, Board of Trustees and senior management informed of the operation and progress of compliance efforts.
- Monitors key performance and risk indicators/metrics to assist with early identification of risk trends across various operational units.
- Institutes and maintains an effective compliance communication program for the organization, including promoting use of the Compliance Hotline and retaliation-free reporting; promotes awareness of Code of Conduct and understanding of new and existing compliance issues and related polices and procedures.
- Partners with Human Resources and others as appropriate to develop an effective compliance training program for newly hired employees and annual refresher training for existing employees.
- Oversees coordination of external compliance audits from entities providing oversight, including but not limited to Contracted Payors, State Departments of Insurance, and CMS.
- Performs other duties as assigned.
QUALIFICATIONS
Education and Experience
Required
- Education
Bachelor's Degree in Healthcare Administration, Business, or a related field
- Licenses and Certifications
(CHC) CERTIFIED HEALTHCARE COMPLIANCE or willing to obtain CHC within 1 year
Preferred
- Education
Master's Degree in Healthcare Compliance
Knowledge, Skills and Abilities
- Thorough knowledge of state and federal guidance, laws and regulations, industry leading practices, accreditation bodies, participating provider agreements, HIPAA and Third-Party Administration (TPA) laws, credentialing regulations, prompt pay laws, and fraud, waste, and abuse (FWA) laws.
- Work requires ability to monitor and maintain budget.
- Work requires ability to plan and organize work in logical and efficient manner.
- Work requires ability to ensure adherence to all policies and procedures of university, such as, salary guidelines, accounting regulations, and internal controls policy.
- Work requires ability to work with confidential information on daily basis.
- Work requires excellent oral and written communication skills.
PHYSICAL DEMANDS/WORKING CONDITIONS
- Working Conditions
Office Setting
PACT STATEMENT
The following is the acronym, "PACT", and is fundamental to all non-clinical positions at UT Southwestern Medical Center:
- P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
- A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
- C-Communication, Contribution, and Collaboration: Who are our Customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
- T-Teamwork: Employees work to contribute to the department's success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.
Salary
Salary Negotiable
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
