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The Compliance Officer, TBD (To Be Determined) is one of several compliance officer positions in UW Medicine Compliance, a unit which oversees the development and coordination of compliance programs across a wide range of risk areas, including fraud, waste and abuse prevention (facility and professional fee clinical documentation/coding/billing, clinical research billing, conflicts of interest, Stark/AntiKickback), privacy and information security, EMTALA, ethics and professionalism, and industry relations. Program functions include development of policies and standards, auditing, monitoring, education/outreach, investigations, risk assessment and mitigation, regulatory monitoring and program modification, and on-going evaluation and reporting of program effectiveness.
The Compliance Officer, TBD will:
Coordinate and support compliance-related activities across UW Medicine in the subject matter areas detailed below. The CO has a particular role involving SoM constituents and entities and must receive inquiries/concerns and make appropriate referrals, coordinate investigations, participate in the assessment and mitigation of compliance risks that affect the SoM, provide regular status reports, and work with SoM departments to ensure implementation of healthcare and University compliance policies.
Coordinate compliance issues, initiatives and projects that may fall under the jurisdiction of University compliance and risk management offices and that impact the affairs, interests and/or constituents of UW Medicine.
This position reports directly to the Chief Compliance Officer for UW Medicine/Associate Vice President for Medical Affairs, University of Washington (CCO/AVPMA) and is accountable for coordinating a broad set of compliance-related activities across UW Medicine, in particular for the SoM, and its faculty, staff, students and trainees, and interfacing with University of Washington (University) compliance offices on matters affecting UW Medicine. This position has a dotted line reporting relationship to the SoM Senior Director of Business and Regulatory Affairs. SoM faculty, staff, students and trainees are subject to a wide range of university and healthcare compliance requirements covering such areas as:
Professionalism, conduct, ethics, use of state resources
Clinical and basic science research, clinical billing and documentation, human and animal subjects research, effort certification, export controls
Safety, including environmental health, radiation, select agents, and lab safety
Privacy and information security, including student information and non-HIPAA privacy)
Stark and Anti-Kickback, conflicts of interest
Graduate medical education, student activities and student records
Scholarly activities, authorship, intellectual property
International activities involving teaching, research and employment
Duties and Responsibilities:
Provide professional leadership for and coordination of compliance issues affecting the SoM; participate in the development of SoM-specific strategies for compliance education, outreach, monitoring and auditing; participate in risk assessments and monitor completion of SoM risk mitigation activities.
Serve as the UW Medicine Compliance point of contact for University compliance content areas (including but not limited to research, graduate medical education, privacy, information security, environmental health and safety, conflicts of interest, regulatory compliance, ethics, professionalism) to address UW Medicine risks and interests. Advise the CCO/AVPMA and SoM officials about program needs and system interfaces, and recommend changes as needed.
Serve as the UW Medicine Compliance lead for compliance in the area of research integrity, conflicts of interest, and other non-billing related regulatory areas at UW Medicine entities other than the School of Medicine.
Ensure that inquiries, complaints and other concerns are properly investigated and resolved, providing consultative leadership and support to all entities as appropriate; verify that adequate steps are taken to correct identified problems and prevent their reoccurrence, including employee sanctions and operational changes.
Maintain awareness of applicable laws, regulations and status of current enforcement initiatives.
Participate in the delivery of education and outreach, conduct audits and risk assessments, or perform internal reviews of compliance effectiveness, working closely with UW Medicine compliance teams.
Serve as a member of the CCO/AVPMA's executive team, working closely with other content experts to achieve efficiencies and effectiveness throughout the compliance department, participate in departmental strategic planning, internal policy/procedure development, budget and resource planning, and business decisions.
Establish cooperative and collaborative relationships with compliance and operational offices on matters of shared concern, and serve as liaison between those offices and UW Medicine entities to ensure effective and timely management of issues, initiatives and projects.
Participate in institution-wide initiatives, process improvement projects, and policy implementation processes as necessary; serve on committees and taskforces as assigned.
Provide direct support and assistance to entity executives who are responsible for the success of compliance programs in their respective areas.
Provide regular reports on program activities and issues to the CCO/AVPMA, entity leaders, and compliance committees.
Convene constituent and entity-based compliance committees and work groups as needed.
May serve as point of contact for external reviews or delegate authority as appropriate; coordinate assessments and ensure timely responses.
Serve as point of contact with legal counsel and the Attorney General's Office regarding related compliance strategies and responses to legal issues.
Represent the CCO/AVPMA as necessary.