Senior Corporate Compliance Director - HIPAA Officer
University of Michigan - Ann Arbor
Application
Details
Posted: 25-Oct-24
Location: Ann Arbor, Michigan
Salary: Open
Internal Number: 256136
The Senior Corporate Compliance Director (?Senior Director?) is responsible for leading the strategy, development, implementation, and oversight of Michigan Medicine?s (?MM?) statewide Corporate HIPAA Compliance Program (?Program?).
The Senior Director?s responsibilities include, but are not limited to, developing, implementing, and overseeing the Corporate Compliance HIPAA Program to ensure adherence to Federal and State healthcare program requirements, applicable MM policies and MM?s Code of Conduct.
Reporting to the Chief Compliance Officer the Senior Director is responsible for on-going risk assessments, maintaining the Corporate Compliance work plan, and the Compliance Program?s adherence to the seven (7) elements of an effective Compliance Program. This includes assessing adherence to the requirements and guidance set forth by various regulatory authorities including, but not limited to, the Office of Civil Rights (OCR), the Office of Inspector General (OIG), the United States Department of Justice (DOJ) and the Centers for Medicare and Medicaid Services (CMS). This position will provide reports, information, metrics, and recommendations directly to MM leadership and the Compliance Committee of the Hospital Board.
Development, implementation, education, monitoring, and continuous improvement of the core components of an effective Compliance Program, including but not limited to:
Develop and monitor compliance-related policies, procedures, and standards designed to identify, prevent, and detect illegal, unethical, or improper conduct.
Develop and monitor robust investigatory procedures designed to respond to alleged violations of law or regulations, policies, procedures, and the Code of Conduct
Oversee and facilitate the Corporate Compliance work plan and audit plan and implementation of reportable, reliable, and responsive metrics.
Implement continuous improvement for compliance operations.
Ensure implementation and adherence to robust corrective action plans and metrics related to the same.
Develop and provide education, training, and communications designed for a diverse workforce.
Oversee the Corporate Compliance risk assessment process.
Develop and report on compliance-related key indicators for leadership and others across the health system.
Partner with Human Resources to ensure appropriate enforcement of compliance-related standards and disciplinary guidelines for identified violations.
Foster a `speak-up? organizational culture free from retaliation.
Advise internal stakeholders of potential compliance risks.
Integrate compliance into day-to-day operations and enable increased operational ownership of compliance-related risks.
Continually acquire and update personal knowledge regarding regulatory changes impacting the health system and new systems or businesses acquired by the health system.
Lead complex compliance projects and cross-functional teams in setting and managing milestones and deliverables to achieve stated outcomes.
Conduct data analytics and develop targeted metrics related to the HIPAA Compliance Program.
Envision and lead the technology strategy for the HIPAA Compliance Program.
Monitor the healthcare environment for enforcement actions and implementation of best practices.
Standardize risk-based compliance reporting to ensure the Chief Compliance Officer, Executive Leadership and compliance committees are informed of risks to the operation and progress of compliance efforts.
Monitor the performance of the Program and related activities on a continuing basis, taking appropriate steps to improve the Program?s effectiveness.
Select, train, motivate, supervise, coach, mentor and develop members of the HIPAA Compliance Program.
Chair or Co-Chair compliance committee(s), as necessary.
Manage focused operational, functional, and/or business strategies and activities within a specified area of responsibility.
Assist in planning, prioritizing and/or directing the work/responsibilities of teams/colleagues.
Contribute to and/or establish operational, functional, and/or business plans that have short- to long-term impact on the HIPAA Compliance Program.
Communicate with parties within and outside of Corporate Compliance, including, but not necessarily limited to, customers or vendors.
Perform other duties that may be necessary or in the best interest of the Program and the health system
Competencies
Leadership and Talent Management
Ability to oversee and collaborate with professional-level employees and exercise latitude and independence in assignments.
Matrixed responsibilities for both direct and indirect reports.
Organizational Impact
Manage one or more teams comprised of a combination of supervisors and experienced professionals.
Focus on operationalizing the compliance strategy within distinct Compliance Program functions.
Establish operational, functional, project plans and/or business plans with mid-to long-term impact (e.g., 3 to 5 years).
Accountability for fiscal responsibility.
Knowledge and Experience
Broad knowledge in leading and managing processes, projects, and strategy.
Comprehensive and deep understanding of all aspects of a Compliance Program.
Comprehensive understanding of impact of work across the Compliance Program and the health system.
Comprehensive understanding of HIPAA and other related state and federal privacy regulations preferred
Communication & Influence
Influence those within the Program and external to the Program regarding policies, practices, and procedures.
Communicate and conduct briefings with senior or executive leadership regarding ongoing operations and strategic initiatives.
Foster strong relationships and use a collaborative approach to conducting compliance activities.
Education
A bachelor?s degree is required.
Equivalent Education and/or Experience
Minimum ten (10) years' experience in healthcare compliance or healthcare operations, preferably with a large, multi-faceted healthcare company or academic medical center.
Experience with healthcare regulations, conducting investigations, auditing and monitoring, education and training, and other healthcare compliance-related activities.
An equivalent combination of relevant experience may serve as a substitute for the education requirements only.
Certification in healthcare compliance or willing to obtain certification within six (6) months. Currently certified and in good standing with one of the following: Certified in Healthcare Compliance (CHC), Certified Compliance Professional (CCP) or Certified Professional Compliance Officer (CPCO).
Additional Skills:
Exemplify MM?s Mission, Vision, Values, and Code of Conduct.
Operates with a high degree of professional integrity.
Inspire confidence in key stakeholders, build consensus, influence others, maintain credibility, and effectively lead teams.
Team player and a good listener who values the input of others and their contributions.
Energetic, results-oriented individual who is innovative, and creative.
Understanding of and adherence to High-Reliability principles.
Master?s degree or Juris Doctorate is preferred.
Preferred Skills or Special Abilities
Technical Skills:
Excellent verbal and written communication skills.
Ability to create and deliver clear, concise, and effective information to a diverse workforce through a variety of methods, such as formal training, newsletters, webinars, etc.
Mastery of Microsoft applications, telecommunications tools, software, and applications commonly used in healthcare.
Robust organizational skills and attention to deadlines, details, and accountability.
Strong composure when under pressure.
Ability to delegate and serve as a coach/mentor/supporter to team members in and outside of the Compliance Program.
Excellent critical-thinking skills with intuitive ability to appropriately escalate matters based on potential risk to the health system.
Appreciation for the confidential nature of compliance-related and attorney-client privileged matters.
Ability to foster a balanced ?need to know? work environment in support of Program objectives.
Strong research, analytical and problem-solving skills.
Ability to manage multiple priorities, projects, and team members, as well as adapt to changing business needs in a fast-paced environment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.