Executive Director of Compliance and CCO

JOB SUMMARY:

The Executive Director, Compliance & Chief Compliance Officer (CCO) is responsible for oversight of the compliance program across the University of Texas at Tyler (UT Tyler), including the healthcare setting at the Health Science Center campus (UT Health East Texas (UTHET) North Campus) and clinics, the academic setting at the Main campus and other academic campus locations, and the newly established and growing School of Medicine. This position is responsible for tracking laws and regulations that might affect UT Tyler’s policies and procedures and to make management aware of its responsibilities. This role promotes compliance awareness through prevention, detection, and resolution of conduct that does not conform to federal and/or state law and regulations, as well as ethical and business policies of the University of Texas System and UT Tyler. The Executive Director, Compliance & CCO stays abreast of laws and regulations that might affect the institution’s policies and procedures and prepares compliance reports for executive leadership and the UT System Compliance Office. In addition, the Executive Director, Compliance & CCO, together with the Executive Compliance Committee (ECC), is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program. This position also supervises the Title IX Coordinator and provides oversight of the Title IX Department and its activities.

MAJOR RESPONSIBILITIES / DUTIES / CRITICAL TASKS:

• Serves as the Chief Compliance Officer and assists the ECC to coordinate and implement the compliance function.
• Collaborates with compliance risk owners to identify potential areas of compliance vulnerability and risk, develops/implements corrective action plans for resolutions of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
• Plans, develops, implements, and evaluates the general institutional compliance program and related education and training activities to promote an institutional culture favorable to compliance.
• Works with the Human Resources department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees, as well as ongoing training for all employees and managers.
• Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
• Ensures an effective system is in place for employees to raise questions and obtain advice regarding compliance, and to promote/publicize avenues by which employees may make good faith reports of suspected misconduct without fear of retaliation.
• Manages day-to-day operation of the compliance program.
• Assist the MSRDP Compliance and Ethics Committee with proper execution of the Billing Compliance Plan.
• Develops and periodically reviews and updates Standard of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.
• Collaborates with other departments (e.g., Risk Management, Internal Audit, Human Resources, Title IX, Athletics, Legal Affairs, etc.) to direct compliance issues to appropriate existing channels for investigation and resolution. Consults with Legal Affairs as needed to resolve difficult legal compliance issues.
• Ensures the Compliance Department maintains a Compliance Activity Log of all received/reported compliance issues and maintains all supporting documentation to substantiate the outcome(s) of the review/investigation.
• Establishes and provides direction and management of the compliance Hotline, inclusive of the Triage team.
• Supervises the Title IX Coordinator and provides oversight of the Title IX Department.
• Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures and develops and oversees a system for uniform handling of such violations. Ensures timeline and thorough investigations.
• Acts as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.
• Provides reports on a regular basis, and as directed or requested, to keep the ECC, the UT System Compliance Office, and senior management informed of the operation and progress of compliance efforts.
• Ensures proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
• Performs other duties as assigned.

ACCOMPANYING KNOWLEDGE, SKILLS, ABILITIES AND COMPETENCIES:

• Exceptional interpersonal skills.
• Excellent oral and written communication skills.
• Ability to handle confidential and sensitive information with discretion.
• Prior knowledge working with regulatory agencies.
• Demonstrated experience in interpreting and applying federal regulations and guidelines and internal company policies.
• Experience reviewing and interpreting contracts and other legal documents.
• Prior supervisory experience.

REQUIRED EDUCATION / EXPERIENCE:

• Bachelor’s Degree in a related field is required. Master’s degree preferred.
• Juris Doctor (JD) preferred.
• Eight (8) years progressively responsible experience in healthcare, business, and/or university environment.
• Demonstrated accomplishments in the healthcare arena with knowledge and experience of healthcare (Five (5) years), preferred.
• May accept a combination of education and experience.

REQUIRED CERTIFICATIONS / LICENSES:

• CHC and/or CCEP is required.