Descri\u00e7\u00e3o do cargo:
Introduction<\/p>\n
Nationally recognized as a\u00a0Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent\u00a0benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive?\u00a0Join us as we change the future of health care.<\/p>\n
About TTUHSC<\/p>\n
Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care \u2013 and we believe that our people are the reason for our institution\u2019s lasting success and bright future.<\/p>\n
Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.<\/p>\n
Visa Information<\/p>\n
TTUHSC, at its sole discretion, may initiate new H-1B I-129 visa petitions in accordance with the directive issued by Governor Abbott. Approval from the Texas Workforce Commission is required. On a limited, case-by-case basis, the institution may also sponsor eligible individuals for change-of-status or change-of-employer petitions for qualifying positions. TTUHSC will not pay the $100,000 fee, if applicable.<\/p>\n
Descri\u00e7\u00e3o do cargo<\/p>\n
Plans and directs the overall operation of a complex area\/department and provides leadership for staff members. Under executive direction, performs highly varied administrative duties involving the use of independent judgment and professional skills. Responsible for all employees assigned to area.<\/p>\n
Major\/Essential Functions2. Clinical Compliance Operations & Stakeholder Engagement3. Training & Education4. Policy & Procedure Development5. Auditing, Monitoring & Risk Assessment6. Regulatory & Governmental Affairs
Compliance Program Leadership & CRCO Support
Serve as a trusted advisor to the CRCO by maintaining current awareness of evolving federal and state healthcare laws, billing and coding regulations, privacy requirements, and payor policies.
Assist the CRCO in monitoring and responding to changes in state and federal statutes, CMS conditions of participation, and commercial payor contract requirements.
Represent the compliance program before the CRCO, Institutional Risk and Compliance Committees, and other governance bodies as appropriate.
Serve as the primary institutional point of contact and subject matter expert for all clinical compliance matters, including billing, coding, documentation, and related regulatory requirements.
Develop and maintain a two-way line of communication with billing and coding compliance team members, clinical leadership, and operational stakeholders to identify compliance needs and provide timely guidance.
Liaise regularly with Regional Executive Teams and coordinate system-wide compliance activities including dashboard reporting, audit summaries, policy implementation, and committee presentations.
Conduct regularly scheduled meetings with clinical and compliance teams across campuses; travel to various sites as required to foster a culture of compliance and deliver hands-on support.
Oversee the design, development, and ongoing evaluation of compliance education programs covering fraud and abuse, billing and coding accuracy, and related regulatory topics.
Direct clinical compliance training initiatives for all employees, volunteers, medical and professional staff, contractors, business associates, alliances, and other third parties as applicable.
Leverage technology, e-learning platforms, artificial intelligence and data analytics to expand training reach and measure comprehension and completion across the organization.
Oversee the creation, implementation, and ongoing review of institutional compliance policies and procedures to ensure alignment with applicable federal and state regulations, accreditation standards, and organizational values.
Monitor regulatory developments and initiate timely policy updates to address changes in Medicare, Medicaid, commercial payor requirements, or applicable state law.
Oversee the development and execution of an annual clinical compliance audit and review schedule, informed by institutional and enterprise risk assessments, data mining tools, artificial intelligence, and known industry risk areas.
Perform and supervise regular internal audits of billing, coding, and clinical documentation for accuracy, completeness, and regulatory compliance.
Investigate compliance incidents and potential violations; develop corrective action plans and oversee remediation activities to closure.
Collaborate with data analytics and informatics teams to leverage data mining and AI-driven tools to identify billing anomalies, utilization outliers, and emerging compliance risks.
Assist the CRCO in managing interactions with the OIG, CMS, DOJ, and other federal and state regulatory bodies, including voluntary disclosures, audits, investigations, and inquiries.
Support the investigation and formal response to complaints or inquiries received from governmental enforcement agencies, accreditation bodies, and commercial payors.
Maintain expertise in False Claims Act enforcement, Anti-Kickback Statute, Stark Law, HIPAA\/HITECH, and other laws and regulations applicable to academic medical centers and health systems.
Serve as an institutional resource for compliance with CMS, OIG Work Plan priorities, and state regulatory requirements.<\/p>\n
Qualifica\u00e7\u00f5es necess\u00e1rias<\/p>\n
Bachelor’s degree required. Seven years progressively responsible management experience required. Education beyond bachelor’s level may substitute for required experience on a year-for-year basis.<\/p>\n
Qualifica\u00e7\u00f5es preferenciais<\/p>\n
Education
Master’s degree (MHA, MBA, JD, MPH, or equivalent) or terminal degree.<\/p>\n
Experi\u00eancia
Ten (10) years of progressively responsible experience in healthcare, with at least five (5) years in a leadership role.
Experience in an academic medical center, integrated health system, or large multi-site healthcare organization.
Substantial knowledge of Medicare and Medicaid billing and coding rules, federal fraud and abuse laws (False Claims Act, Anti-Kickback Statute, Stark Law), HIPAA\/HITECH, and CMS payor requirements.
Experience managing or supporting governmental investigations, OIG audits, and regulatory agency interactions.
Proven track record of leading compliance audits, conducting risk assessments, and implementing effective corrective action plans.<\/p>\n
Certifications
Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC) or Certified Professional Coder (CPC).<\/p>\n
Required Attachments<\/p>\n
Cover Letter, Resume \/ CV<\/p>\n
Optional Attachments<\/p>\n
Professional\/Personal Reference<\/p>\n
Benef\u00edcios<\/p>\n
TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:
Health Plans + Supplemental Coverage Options \u2013 Individual health insurance provided at no cost for full-time team members
Paid Time Off \u2013 Including holidays, vacation, sick leave and more
Retirement Plans
Wellness Programs
Certified Mother-Friendly Workplace<\/p>\n
Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.\u00a0Job Type<\/p>\n
Full Time<\/p>\n
Pay Basis<\/p>\n
Monthly<\/p>\n
Pay Grade Minimum<\/p>\n
120,000<\/p>\n
Pay Grade Maximum<\/p>\n
135,000<\/p>\n
Pay Statement<\/p>\n
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at https:\/\/app4.ttuhsc.edu\/payplan.<\/p>\n
Grant Funded?<\/p>\n
N\u00e3o<\/p>\n
Travel Required<\/p>\n
Up to 25%<\/p>\n
Shift<\/p>\n
Day<\/p>\n
Schedule Details<\/p>\n
Monday-Friday 8am-5pm<\/p>\n
Does this position work in a research laboratory?<\/p>\n
N\u00e3o<\/p>\n
Declara\u00e7\u00e3o de EEO<\/p>\n
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.<\/p>\n
Jeanne Clery Act<\/p>\n
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https:\/\/www.ttuhsc.edu\/compliance\/clery-report.aspx.<\/p>","protected":false},"author":10,"featured_media":0,"template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"pmpro_default_level":"","_promoted":"","_job_location":"Texas","_application":"https:\/\/visasponsor.jobs\/api\/jobs\/97d616fba9ba470fbde41d714bd6c640\/Managing-Director","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":"","_joinchat":[]},"job-types":[398],"class_list":{"0":"post-14231","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"hentry","5":"pmpro-has-access","7":"job-type-h1-b"},"_links":{"self":[{"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/job-listings\/14231","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/users\/10"}],"wp:attachment":[{"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/media?parent=14231"}],"wp:term":[{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/kick-start.us\/pt-br\/wp-json\/wp\/v2\/job-types?post=14231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}