Manager - Compliance

CHRISTUS Health•Texarkana, TX

About The Position

The Compliance and Privacy Manager executes CHRISTUS’ Corporate Compliance and Privacy Work Plans and facilitates and monitors compliance with federal and state healthcare laws and regulations at CHRISTUS facilities. Under the direction of the CHRISTUS Regional Compliance & Privacy Director, the Manager conducts compliance and privacy audits, monitoring, risk assessments, investigations, training, and regulatory reporting, and works with business units to address identified gaps and deficiencies.

Requirements

Minimum 5 years of general healthcare experience with knowledge of hospital operations and compliance programs.
Knowledge of healthcare legal and regulatory compliance practices.
Knowledge of the HIPAA Privacy Rule, False Claims Act, Stark Law, and Anti-kickback statutes.
Working knowledge of hospital operational processes.
Bachelor’s degree preferred in business, accounting, healthcare administration, or legal.
Registered Nurse licensure in the state of employment preferred.
CHC and CHPC certifications preferred.

Nice To Haves

Four years of experience in regulatory research and knowledge of federal and state law preferred.
Bachelor’s degree in business, accounting, healthcare administration, or legal preferred.
Registered Nurse licensure in the state of employment preferred.
CHC and CHPC certifications preferred.

Responsibilities

Execute annual Compliance Work Plans under the direction of the CHRISTUS Regional Compliance & Privacy Director.
Manage audits and monitoring of business units to assess compliance with applicable laws and regulations.
Work with business units to identify compliance and privacy gaps and deficiencies and develop workflows and corrective actions.
Assess risks associated with identified gaps and recommend improvements.
Work with business units to develop monitoring metrics and provide input on department-level policies and procedures, as appropriate.
Assist in developing and delivering specialized operational training; develop and deliver targeted course content as directed by work plans, operational reviews, or leadership requests.
Maintain current knowledge of federal and state laws applicable to healthcare providers and serve as a resource on relevant laws, regulations, and program policies and procedures.
Research compliance and privacy regulations and provide written guidance to affected parties.
Track compliance and privacy training completion for assigned facilities.
Attend regional work group meetings as directed by the CHRISTUS Health Regional Compliance & Privacy Director.
Investigate suspected or reported incidents involving the use, disclosure, and storage of PHI, including potential breaches, patient complaints, and OCR complaints.
Assist the CHRISTUS Health Regional Compliance & Privacy Director with preparing and coordinating regulatory audits, including OIG, OCR, and accreditation agency audits.
Prepare required reports of compliance incidents and/or HIPAA breaches for federal and state regulators, as appropriate.
Coordinate with the IT Security Officer or regional designee regarding security issues.
Assist with annual Compliance and Privacy risk assessment processes.
Help ensure Business Associate Agreements (BAAs) are updated.
Provide compliance and privacy updates to the CHRISTUS Health Regional Compliance & Privacy Director.
Promote activities that foster awareness of compliance and privacy across entities.
Coordinate and conduct privacy monitoring walkthroughs at entities.
Respond to and resolve compliance or privacy issues received through the CHRISTUS Health Integrity Line.
Document and track investigations and mitigation of compliance and privacy issues in the incident management system.
Perform other projects and duties as assigned.