Senior Compliance Analyst Jobs

About The Position

Requirements

• Bachelor’s degree and four (4) years of experience in an audit or investigation function preferred.
• Advanced knowledge and understanding of compliance and industry processes, practices, and Regulations preferable.
• Demonstrates commitment to continued education on compliance-related issues and relevant federal and state legal authority.
• Experience with ethics, policies and procedures, training, investigations, audits, and compliance risk assessments and developing and managing compliance training and communication projects preferable.
• Ability to identify legal risk and help strike a sensible and practical balance between legal risks and business goals.
• Strong analytical reasoning skills to effectively and efficiently review, evaluate and analyze information and data.
• Excellent collaborative skills, interpersonal skills, and written and oral communication skills.
• Demonstrated commitment to a high level of integrity and ethical principles and professionalism to uphold the compliance culture, mission, and values of the institution.
• Prior experience in a compliance-related area preferred.
• Prior experience conducting audits and/or investigations preferred.
• Goal-oriented and able to work independently once given direction.
• Strong organizational skills.
• Advanced knowledge of software application systems and spreadsheet reporting, and demonstrates eagerness and aptitude to quickly learn new software/programs.
• Proficiency in Microsoft Excel, including complex formulas, pivot tables, and data modeling.
• Experience with statistical and data analysis tools such as RAT-STATS, SAS, R, Python, SPSS, or similar platforms for data mining, modeling, and risk analysis.
• Experience with data visualization and business intelligence tools to create impactful compliance dashboards and reports.
• Knowledge of data governance, data validation, and data quality assurance practices.
• Ability to work with large datasets from multiple systems, including electronic health records (EHR), billing systems, and compliance tracking tools.

Nice To Haves

• Experience in an audit or investigation function
• Experience with ethics, policies and procedures, training, investigations, audits, and compliance risk assessments and developing and managing compliance training and communication projects
• Prior experience in a compliance-related area
• Prior experience conducting audits and/or investigations

Responsibilities

• Coordinates and conducts audits of compliance activities of UTMB departments for the Office of Institutional Compliance (OIC) to ensure compliance with applicable federal and state laws, rules, and regulations.
• Reviews and analyzes conflict of interest disclosures for compliance with institutional policies and applicable federal and state regulations.
• Conducts assessments of potential financial, research, and professional conflicts of interest and recommends appropriate management strategies.
• Coordinates with institutional stakeholders to develop, implement, and monitor conflict management plans.
• Maintains documentation, tracking, and reporting related to COI disclosures, reviews, and resolutions.
• Provides guidance and education to faculty, staff, and leadership regarding COI requirements and disclosure obligations.
• Assists in the development, implementation, and maintenance of the institutional compliance risk assessment program.
• Conducts enterprise and departmental compliance risk assessments to identify, evaluate, and prioritize regulatory and operational risks.
• Analyzes data, trends, audit findings, and regulatory changes to identify emerging compliance risks and recommend mitigation strategies.
• Collaborates with institutional leadership to develop corrective action plans and monitor remediation efforts.
• Prepares risk assessment reports, dashboards, and presentations for leadership and compliance committees.
• Assists with the administration and coordination of compliance hotline and case management activities for the Office of Institutional Compliance.
• Reviews and processes hotline reports and compliance concerns for documentation, tracking, routing, and follow-up.
• Maintains case files, documentation, data entry, and related records in accordance with institutional standards and confidentiality requirements.
• Coordinates meetings, communications, follow-ups, and status updates related to compliance reviews and case management activities.
• Monitors case activity, supports timely follow-up, and assists with reporting, trend analysis, and process improvement initiatives.
• Conducts billing compliance analytics and prepares reports to support risk-based work plans, including monitoring and reporting of audit findings, impact areas, and corrective actions taken.
• Monitors and evaluates regulatory updates, payer guidance, and OIG Work Plan items to assess organizational impact and inform risk prioritization.
• Collaborates with operational departments to support corrective action plans, education, and process improvement initiatives related to billing and coding compliance.
• Utilizes compliance tools (e.g., MDaudit) to support risk assessment, trending, audit support, and compliance oversight activities.
• Assists with analysis, trending, reporting, and maintenance of audit documentation related to billing and coding compliance activities.
• Assists with monitoring and reviewing compliance with HIPAA, privacy regulations, institutional privacy policies, and confidentiality requirements.
• Reviews and processes privacy-related concerns, inquiries, and reported incidents for documentation, tracking, and follow-up.
• Assists with privacy compliance reviews, monitoring activities, risk assessments, and related regulatory analyses.
• Coordinates with operational departments, as appropriate, to support privacy compliance activities and corrective action efforts.
• Assists in maintaining documentation, monitoring trends, and supporting privacy education and process improvement initiatives.
• Assists with the review, coordination, tracking, and maintenance of institutional compliance-related policies and procedures to support alignment with regulatory requirements and organizational standards.
• Supports policy management activities through document review, routing, follow-up communications, monitoring of review cycles, and coordination with departmental stakeholders.
• Adheres to internal controls and reporting structure.
• Performs related duties as required.
• Audits include compliance monitoring for the Office of Institutional Compliance, internal control, self-monitoring activities, internal education activities, investigational, and billing and coding audits with general supervision by the Chief Compliance Officer.
• Perform specialized regulatory compliance review and analysis for the Office of Institutional Compliance.
• Interacts with business administration department heads on a routine basis and establishes good working relations.
• Keeps OIC attorneys and Executive Director(s) informed of audit progress, analysis results, and efficiently manages analysis and review so that departmental quality management standards are met.
• Provides information or advice to the OIC attorneys and Executive Director(s) on regulatory compliance matters.
• Formulates ideas and finds alternative solutions to problems and improves UTMB’s processes in ensuring the institution’s compliance with applicable state and federal laws, rules, and regulations.
• Completes other job-related functions and special projects as assigned by the Chief Compliance Officer.

Benefits

• Actual salary commensurate with experience.