Job Description

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

The Director of Regulatory Compliance and Privacy Officer has responsibility for managing the effective implementation of the regulatory compliance and information privacy components of Parkland’s Ethics and Compliance Program (“Program”) across the health system. The Director manages a team of compliance professionals responsible for developing, implementing, and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics. This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (COI), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS).

Minimum Specifications

Education

• Bachelor’s degree is required, master’s degree preferred.

Experience

• Minimum eight (8) years’ experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center.
• Experience with information privacy and security-related activities such as investigations and reporting, auditing, and monitoring, education and training, risk assessments and mitigation/remediation procedures.
• Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance.
• Experience leading teams and supervising staff required.

Equivalent Education and/or Experience

• May have an equivalent combination of experience and certification in lieu of specific education requirements.

Certification/Registration/Licensure

• Certified in Healthcare Privacy Compliance (CHPC)
• Certified Information Privacy Professional/United States (CIPP/US)
• Certified in Healthcare Privacy and Security (CHPS)
• Certified in Healthcare Compliance (CHC)
• Renewals must be submitted no later than 7 calendar days after the current expiration date.

Skills or Special Abilities

Skills:

• Excellent verbal and written communication skills
• Able to create and deliver clear, concise, and effective information to a diverse workforce through a variety of methods, such as formal training, audit reports, informational webinars, etc.
• Mastery-level proficiency with Microsoft applications, telecommunications tools, software, and applications most commonly used in the healthcare environment.
• Robust organizational skills with an attention to deadlines, details, and accountability
• Responds well under pressure; accepts delegation while simultaneously serving as a coach/mentor/supporter to subordinates.
• Excellent critical-thinking skills with intuitive ability to appropriately escalate matters based on potential risk to the organization.
• Appreciation for the confidential nature of compliance-related and attorney-client privileged matters; fosters a balanced “need to know” work environment in support of Program objectives.

Special Abilities:

• A leader who will demonstrate, through word and action, commitment to the Parkland Mission, Vision, Mandate, Values and Code of Conduct
• An individual with high personal and professional integrity
• A leader who will inspire confidence with key stakeholders, build consensus, influence others, maintain credibility and effectively lead teams.
• A team player and good listener who values the input of others and their contributions.
• An energetic, results-oriented individual who is equally innovative, creative and demonstrates a good sense of humor that is appropriate for the work environment, not abusive or offensive.

Responsibilities

1. Development, implementation, education, monitoring and continuous improvement of the core components of an effective compliance and privacy program, including but not limited to:
   1. policies, procedures and standards designed to identify, prevent and detect illegal, unethical or improper conduct or ineffective operational procedures that create compliance risk.
   2. robust operational auditing and monitoring procedures designed to respond to alleged violations of law or regulations, policies, procedures, and the Code of Conduct
   3. robust corrective action development to remediate identified violations.
   4. formal education, training and communications regarding compliance and privacy program operations matters that are designed for a diverse workforce.
   5. risk assessment procedures
   6. annual work plan activities
   7. metrics or key indicators of operational performance
   8. partnerships with organizational leaders to facilitate timely reporting of potential compliance risk.
   9. fostering a 'speak up' culture free from retaliation.
   10. compliance and ethics reporting (“hotline”) activities
   11. conflicts of interest disclosure program
   12. federal exclusion screening program
2. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component.
3. Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws governing privacy of health information.
4. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes.
5. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other regulatory or privacy-related responsibilities of the program.
6. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors.
7. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice.
8. Select, train, motivate, supervise, coach, mentor and develop employees.
9. Chair or Co-Chair various compliance committees as necessary
10. Perform other duties that may be necessary or in the best interest of the Program and organization.

Job Accountabilities

1. Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
4. Develops and monitors annual budgets that ensure the department has the necessary funds to conduct the goals and objectives that have been established for the department.
5. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland.
6. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.

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