Senior Compliance Specialist

 
Position: Senior Compliance Specialist

Job ID: 400821

Location: US-TX-Houston

Department: Compliance And Privacy Office

Talent Area: Professional - Non-Clinical

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8a-5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.



Summary:

We are looking for a Senior Compliance Specialist, someone who’s ready to grow with our company. In this position, you will independently and cooperatively plan and manage audits, reviews, investigations and projects to ensure compliance with Texas Children's policies/procedures and state and federal rules, regulations and statutes. To identify risks by conducting ongoing risk assessments for Texas Children's and document and report the risk(s) to Senior Management. 

Think you’ve got what it takes? 

Job Duties & Responsibilities 

  • Conducts and Manages Compliance Audits, Reviews, Projects, or Investigations. Ensures that written reports and correspondence are organized, accurate, appropriate in content, professional in appearance and appropriately convey the reported issue(s). Assists operational areas with implementing recommended changes to enhance operations or mitigate risk. 
  • Documents compliance issue(s) and prepares scope memorandum/project charter in accordance with agreed deadline.  
  • Confers with necessary parties in an effective and appropriate manner, including in-house legal counsel or external counsel when necessary and communicates any issues or concerns to the Manager in an appropriate and timely manner. 
  • Prepares Audit or Review Work Program and obtains supervisory approval in accordance with agreed deadline. 
  • Conducts fieldwork and/or information gathering in an effective, efficient, professional manner. 
  • Ensures that audit/review/project/investigation issues/findings are verified with sources for accuracy and appropriately supported by comprehensive, accurate, well-organized work papers. 
  • Prepares comprehensive, accurate documentation to support recommendations and/or proposed resolutions. Ensures that the audit/review/project/investigation is completed by the agreed upon deadline (or documents the exception), that workpapers are complete, and that staff and/or team-assigned work has been reviewed. 
  • Identifies significant issues within the scope of the audit/review/project/investigation ensuring compliance with appropriate statutes, rules, and regulations. Obtains supervisory approval to seek external legal counsel when necessary. 
  • Prepares formal report to senior management documenting issues/findings identified during the audit/review/project/ investigation. Documents agreed upon resolution. 
  • Develops or assists in developing implementation plans.  
  • Leads, assists or monitors team assigned to implement recommended operational changes designed to mitigate risk and/or improve operational processes. 
  • Writes audit report, /or audit memoranda and/or project report promptly as observed by the Assistant Director. 
  • Documents interviews, meetings, issues thoroughly and accurately in support of audit issues/findings. 
  • Schedules, prepares for and attends exit conference to discuss audit/project findings, area(s) of risk, identified issues and proposed recommendations for change. 
  • Exhibits the ability to communicate the issues to all levels of management, including senior management. 
  • Obtains written response to the audit/project report within agreed upon timeframe. Ensures appropriate follow-up of findings/issues.  
  • Conducts Compliance Training. Assists in the On-going Development/Maintenance of the organizations’ Compliance Program per OIG Requirements 
  • Monitors Regulatory Environment; evaluates statutes, regulations, laws to determine applicability to Texas Children’s. Communicates information to appropriate Texas Children’s personnel. 
  • Engages in risk analysis activities 
  • Leads the work of Compliance Specialists, Compliance Assistant(s), and Others 
  • Seeks Professional Growth & Development 

Skills & Requirements 

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption.  
  • Required H.S. Diploma or GED 
  • Preferred Licenses/Certifications: 
  • CPC - Cert-Cert Professional Coder 
  • CCS-P - Cert-CCS-P Physician Based 
  • RHIA - Cert-Reg Health Inform. Admins 
  • CCS - Cert-Cert Coding Specialist 
  • CHC - Certified in Healthcare Compliance 
  • Required 9 years in a healthcare regulatory environment including specific experience in project management and audit type work such as planning, supervising, executing, and reviewing audits, reviews, or investigations. 


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