Assistant Director Investigations, Compliance

UT Southwestern Medical Center • Dallas, TX

9d • Onsite

About The Position

The Assistant Director for Investigations plays a pivotal role in overseeing, coordinating, and advancing investigations related to healthcare regulatory compliance, fraud, abuse, and misconduct within UT Southwestern and Southwestern Health Resources. This role ensures thorough and timely investigations while upholding the highest ethical standards and maintaining compliance with internal policies, as well as local, state, and federal regulations. The Assistant Director also assists the Office of Compliance and Internal Audit leadership team in developing and facilitating appropriate educational programming and outreach activities to all students and employees on campus.

Requirements

• Bachelor's Degree in Business Administration, Healthcare Administration, Criminal Justice, or a related field
• 5 years years of experience in the healthcare regulatory space
• 2 years managerial experience

Nice To Haves

• Master's Degree in a related field or Juris Doctor (JD)
• Background in investigations and training obtained with a state or federal agency strongly preferred

Responsibilities

• Oversee investigations pertaining to alleged misconduct, fraud, policy violations, and compliance breaches.
• Develop and implement protocols to ensure a systematic approach to investigations that adhere to regulatory requirements and organizational policies.
• Continuously monitor investigation processes and results, ensuring efficiency and accuracy in findings.
• Manage a team of investigators and analysts, providing guidance, training, and performance feedback.
• Collaborate closely with the Chief Compliance Officer/Chief Audit Executive on resource allocation, staffing, and budget management.
• Foster a culture of integrity, professionalism, and accountability within the investigations team.
• Partner with departments such as Legal, Compliance, Human Resources, Security, and Clinical Operations to gather information and facilitate comprehensive investigations.
• Communicate investigative outcomes and recommendations to executive leadership, governing bodies, and regulatory agencies as appropriate.
• Engage with external stakeholders (e.g., law enforcement, legal counsel) as needed, ensuring clear and concise reporting.
• Stay abreast of changing healthcare regulations, privacy laws (e.g., HIPAA), and standards impacting investigations.
• Integrate best practices in investigative techniques, documentation, and evidence management.
• Develops and maintains a comprehensive case-management system and accurately logs all reports and concerns of non-compliance and related complaints and ensures meticulous record-keeping and data integrity to maintain confidentiality and compliance throughout the investigation process.
• Assist in the creation and revision of investigation-related policies, standard operating procedures (SOPs), and training materials.
• Identify trends, root causes, and opportunities for improvement based on investigation findings.
• Propose and implement enhancements to the investigative process to reduce risk and improve outcomes.
• Conduct risk assessments in potential or ongoing investigations, identifying potential gaps in controls or practices.
• Provide recommendations for mitigating risk and preventing recurrence of compliance or policy violations.
• Track and monitor corrective action plans to ensure resolution of identified issues.
• Directs identified compliance or internal audit issues to the appropriate existing channels for evaluation and resolution; operational areas to improve the compliance of processes, coordinates and prepares reports and assessments.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Manager