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Director Compliance and Privacy – Texas Health Physicians Group
Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.
Work location: Texas Health Resources (Arlington, TX)
Core work hours: Monday – Friday 8:00a-5:00p; Hybrid work opportunity with some local travel to different practices around the metroplex
Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex.
THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise have helped create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work.
Job Description
ORGANIZATION AND OVERSIGHT - COMPLIANCE AND PRIVACY PROGRAMS: Oversee, lead and administer the THPG Compliance and Privacy Programs in alignment with THR policies. Report on a regular basis to the THR Chief Compliance Officer and the THPG Board on program effectiveness including progress and efforts to reduce vulnerability to fraud, waste and abuse. Continually improve THPG programs in light of organization needs and consistent with laws and regulations that impact THPG business operations. Develop and oversee THPG annual compliance/privacy work plan. Implement written policies, procedures an standards of conduct. Establish and chair THPG Compliance and Privacy Committees.
COMPLIANCE/PRIVACY AUDITS AND MONITORING: Develop, coordinate and oversee annual internal compliance review and monitoring work plan including processes and controls to provide compliance with legal requirements and THPG standards. Coordinate external audits such as recovery audit contractors for governmental agencies and/or commercial payer audits. Analyze data, implement benchmarking and dashboards for key compliance and privacy risk areas.
COMPLIANCE/PRIVACY PROGRAM COMMUNICATION AND TRAINING: Develop and coordinate multifaceted educational and training programs for THPG employees that focus on the elements of the compliance and HIPAA privacy programs and seek to ensure that employees and management are knowledgeable of and comply with federal and state laws and regulations including Medicare/Medicaid program requirements. Lead and/or work with appropriate resources to ensure proactive THPG provider education is provided in response to identified risk areas such as coding, billing, documentation and HIPAA privacy /information security requirements. Develop effective lines of communication and awareness within THPG of the Compliance and Privacy Programs.
INVESTIGATE AND RESOLVE QUESTIONS/CONCERNS: Facilitate internal reporting processes including the THR Compliance Helpline and open lines of communication for reporting of questions or concerns by employees, contractors, patients or others. Serve as an internal subject matter resource to THPG management and key operations personnel regarding compliance and privacy questions. Serve as the key contact in responding to government investigations or queries such as Office of Civil Rights (Privacy), Office of Inspector General or other governmental agencies. Respond promptly to detected offenses, develop corrective action and report finding to System Compliance leadership and the appropriate stakeholders. Make reports to governmental agencies when appropriate via established channels.
Other duties as assigned.
Education
Bachelor's Degree Required
Master's Degree Preferred
J.D. Preferred
Experience
8 Years Experience in compliance program management, including compliance with federal and state regulations related to coding, documentation, billing practices, Medicare/Medicaid and privacy. Experience to also include experience working with regulatory agencies and developing practices to identity and evaluate areas of risk and respond to potential violations of regulations and policies. Required
Supervisory/management experience and prior physician practice compliance program experience is Required
People Management Experience Strongly Preferred
Licenses and Certifications
CHC - Certified in Healthcare Compliance Required
Other compliance certifications such as CPCO - Certified Professional Compliance Officer will be considered. Upon Hire
Skills
Knowledge of Medicare/Medicaid and healthcare industry regulatory requirements applicable to a large multi-specialty physician organization. Knowledge of revenue cycle. Skilled in continuous improvement approaches, change management and ability to manage and lead projects at all levels. Excellent written and verbal skills. Ability to manage conflict and facilitate resolutions. Ability to effectively communicate, work and collaborate with physician Leadership, practice management, revenue cycle, finance and operations. Demonstrate sound judgment and critical thinking skills.
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 28,000+ employees, we’re 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 (https://jobs.texashealth.org/why-texas-health/) more about our culture, benefits, and recent awards.
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Texas Health requires a resume when an application is submitted.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.