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Texas Health Resources Program Director, Compliance and Privacy in United States

Texas Health Plano and Texas Health Allen seeks to hire a Program Director, Compliance and Privacy.

Primary Work Location:

Texas Health Presbyterian Hospital Plano is located at 6200 West Parker Road, Plano, TX 75093.

Secondary Work Location: (Travel to location as needed)

Texas Health Presbyterian Hospital Allen is located at 1105 North Central Expressway, Allen, TX 75013.

Salary range is Minimum $42.39/hr. to Maximum $67.54/hr. – based on relevant experience.

Work Schedule:

  • Full Time: 40 hours per week. Monday-Friday; 8:00am-5:00pm.

The Program Director of Compliance and Privacy will oversee, lead and administer the hospital compliance and privacy programs consistent with Texas Health Resources policies.

The essential job duties of this position are:

Organization and Oversight

  • Serve as Chair for Entity Compliance Committee and Privacy Committee for assigned entities.

  • Communication and Training:

  • Communicate the importance of compliance and compliance program to senior management, the hospital Board of Trustees, the entity compliance committee, and hospital employees.

  • Increase knowledge of the relationship between services provided to patients, medical record documentation, reimbursement, and audit liability, and other pertinent compliance topics.

  • Develop and/or implement education programs addressing compliance and privacy.

  • Work in cooperation with Central Business Office and the THR Billing Compliance Committee on matters related to the hospital Chargemaster, billing and/or charging matters.

  • Maintain specific knowledge and skills related to the THR Code of Business Ethics necessary to answering questions and providing guidance to hospital personnel on business ethics questions or concerns.

  • Work in coordination with the THR Privacy Officer as needed to carry out privacy initiatives and activities.

  • Lead hospital department leaders and staff in coordination of efforts pertaining to audits and/or compliance-related matters and topics.

  • Motivate staff to use a variety of mediums and facilitate an atmosphere of teamwork and common goal achievement.

Policies, Procedures, and Standards

  • Oversee the application of THR System Compliance policies.

  • Oversee the application of THR Privacy Program policies taking appropriate steps to mitigate damage from breach of privacy policies and practices, when necessary.

  • Identify and assess areas of compliance and privacy-related risk and related internal controls for these risk areas.

Monitoring, Auditing, and Enforcement

  • Oversee entity compliance and privacy monitoring and auditing activities and coordinate as needed with THR System Compliance staff.

  • Communicate audit/monitoring findings.

  • Monitor the day-to-day activities of the hospitals to further its compliance objectives. Conduct and oversee investigations as appropriate.

  • Coordinate investigations with legal counsel and THR System Compliance Officer for major violations of law or policy.

  • Oversee and follow-up, as applicable, implement corrective actions to investigations and other issues generated by the compliance and privacy programs.

  • Perform other duties as assigned.

Qualifications

The ideal candidate will possess the following qualifications:

  • Bachelor’s Degree required.

  • 5 years of Compliance and Health Information Privacy regulations, policies and processes experience required.

  • Understanding of revenue cycle and reimbursement for federally funded programs and private payers required.

  • Prior Compliance Officer and/or Privacy Officer experience required.

  • Multi-Hospital experience preferred.

  • CHC – Certified in Healthcare Compliance required within 12 months of hire required.

  • CHC - Certified in Healthcare Compliance upon hire preferred

Skills:

  • Knowledge of industry standards Medicare/Medicaid.

  • Regulatory standards for affected area of responsibility.

  • Knowledge of continuous improvement and change management.

  • Excellent written and verbal communication skills.

Why Texas Health Resources?

Texas Health Presbyterian Hospital Plano is a 366-bed, Magnet-designated hospital and recognized clinical leader, providing technologically advanced care to Plano, Frisco and surrounding communities since 1991. This full-service facility features a full range of specialties including emergency medicine, cardiology, adult and adolescent behavioral health, pediatrics, an adult intensive care unit, state of the art and technologically advanced surgical services and a Level III NICU. Texas Health Plano has more than 1,600 employees and over 1,360 physicians on its medical staff in more than 65 specialties. The hospital is an Advanced Level III Trauma Facility, accredited Chest Pain Center by The Joint Commission, named “Best Place to Have a Baby” in Collin County and a Gold-Level Mother Friendly business. Texas Health Plano is the recipient of the Disease Specific Care Certifications from the Joint Commission in Chest Pain, Joint Replacement – Hip and Joint Replacement – Knee and an Advanced Certification as a Primary Stroke Center. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.

Texas Health Presbyterian Hospital Allen is a 73-bed, acute-care hospital serving the northern Collin County area since 2000. Hospital services include women’s care, a Level II neonatal intensive care unit, orthopedics, pediatrics, wound care and sleep medicine. Texas Health Allen, a Pathway to Excellence® designated hospital by the American Nurses Credentialing Center, has more than 500 physicians on its medical staff practicing in more than 25 specialties. Texas Health Allen is a World Health Organization-designated "Baby-Friendly Hospital" and was the first hospital in Texas to receive the distinction. The hospital is a Level IV trauma center and an Accredited Chest Pain Center by the Society of Chest Pain Centers, which makes our facility intensely qualified to serve our community and your professional aspirations.

Texas Health Highlights:

  • 2020 Fortune 100 Best Companies to Work For® 2020 (#15) (6 th year in a row)

  • 2020 Fortune's list of Best Workplaces in Health Care (#1)

  • Best Workplaces for Millennials for 2019 by Fortune and Great Place to Work®

  • Platinum-level recognition in the 2019 “Best Employers for Healthy Lifestyles®” awards, sponsored by the National Business Group on Health

  • 2019 "Best Workplaces for Women" by Great Place to Work®

  • 2019 Gold Level Workplace Health Achievement Award by the American Heart Association

  • 2019 HealthCare's Most Wired by CHIME and Modern Healthcare

Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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