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Komen Graduate Training Program UT MDACC · 1 day ago

Executive Director, Compliance Programs and Quality Assurance

Houston, TX

Full-time

Hybrid

Director/Executive

$309K/yr - $364K/yr

10+ years exp

The University of Texas MD Anderson Cancer Center is dedicated to eliminating cancer through comprehensive patient care, research, and education. They are seeking an Executive Director for Compliance Programs and Quality Assurance to provide strategic vision and management of the Institutional Compliance Program while leading quality assurance initiatives to ensure compliance effectiveness and integrity.

Hospital & Health Care

Responsibilities

Provide the strategic vision for the operation of the Institutional Compliance Program's education, outreach, and policy governance functions; risk assessment initiatives; investigation efforts; intern program; executive reporting; compliance committees; publications and communications; reporting and audit response; and the Institutional Compliance Program's annual Work Plans

Serve as a member of Institutional Compliance's Leadership Committee, comprising the Chief Compliance and Ethics Officer; the Deputy Chief Compliance Officer; the Senior Legal Officers for Privacy and Information Security, Billing and Reimbursement, Research Compliance, Data Governance, and Corporate Compliance and Ethics

Co-chair the Institutional Mandatory Training Steering Committee, which considers proposals and revisions to Institution-wide education requirements

Oversee all general compliance educational activities, including Faculty Compliance Orientation and the annual Employee Education Event

Serve on the Institutional Regulatory and Public Safety Work Group to strategize and review software proposals and projects in support of MD Anderson's regulatory goals

Serve on the Institutional Safety Committee to stay abreast of Institution-wide safety efforts and trends

Assess, propose enhancements to, and facilitate programmatic changes for all Institutional Compliance Program elements

Assist senior legal officer (SLO) teams on consults and investigations, as needed

Responsible for strategy, leadership for, and management of Compliance Program Elements

Directly manage and develop strategies for the Institution-wide Sustainable Ethics Educational Program

Responsible for strategy, oversight, and management of specialized compliance educational activities related to HHS-OIG General Compliance Program Guidance and Industry Specific Guidance

Develop strategies for all compliance awareness activities, including ad hoc compliance outreach and compliance publications

Serve as the compliance liaison with Internal and External Communications

Responsible for development and maintenance of all major Institutional Compliance Program documents, including MD Anderson's Standards of Conduct: Do the Right Thing publication

Oversee management of all Institutional Compliance online content

Serve as the Institutional Compliance liaison in reviewing and revising MD Anderson's Annual Security Report, required by the Clery Act and Title IX legislation

Prepare or oversee the preparation of the initial drafts of Institutional policies and attachments as requested by MD Anderson executives and management

Lead Institutional Compliance investigation process and tracking; Compliance Hotline reporting; and Institutional Compliance Exit Survey process for separating employees

Maintain all of the Institutional Compliance Program's compliance plans and internal policies and procedures to ensure compliance with federal and state law, accrediting agencies, third-party payors, and The University of Texas System

Lead the development of the annual Institutional Compliance Risk Assessment and corresponding workplans

Ensure that all compliance-related have appropriate governance and structure

Supervise all staff assigned to the Institutional Compliance Program team, including Associate Directors, Managers, Program Executive Directors, Policy Managers, Program Managers, and Program Coordinators

Work with departmental leadership to identify annual departmental goals

Support and facilitate all special projects assigned by the CCEO and DCCO

Responsible for ensuring investigations are conducted thoroughly, objectively, and in alignment with institutional standards

Ensure that root cause analyses (RCAs) are conducted as part of the investigative process, with a focus on identifying underlying systemic issues

Ensure that external audits, investigations, and surveys with which Institutional Compliance is providing support and assistance are responded to thoroughly, accurately, and completely

Develop and maintain quality assurance metrics related to investigations and CAPs

Qualification

Compliance Program ManagementQuality Assurance OversightStrategic Vision DevelopmentRisk AssessmentFederal Healthcare ComplianceTrainingEducationPolicy DevelopmentProject ManagementContinuous ImprovementAnalytical SkillsStakeholder EngagementLeadershipCommunication SkillsTeam ManagementCollaborationProblem SolvingAdaptability

Required

Master's Level Degree

One or more of the following certifications: Certified Fraud Examiner (CFE) issued by the Association of Certified Fraud Examiners (ACFE), Certified in Health Care Compliance (CHC) issued by the Compliance Certification Board (CCB), Editor in the Life Sciences (ELS), Adobe Certified Expert (ACE)

Ten years in health care administration with an emphasis on strategy development, project management, communications, compliance, and assurance, to include five years of supervisory/managerial experience