Compliance Manager - Houston Methodist Hospital : Job Details

At Houston Methodist, the Compliance Manager position is responsible for developing and implementing comprehensive strategies and tactics that support the Houston Methodist Business Practices Program and its government mandated compliance program elements. As the strategic lead, this position plans, directs, and/or coordinates inter-related projects to ensure that the goals and objectives of the program are met. The Compliance Manager position will work closely with others to coordinate and manage program resources, providing guidance, expert advice, and strategies that fit within the overall program strategy and goals. This position acts as a liaison between the Business Practices Office and Houston Methodist entities system-wide.

Refer to departmental Scope of Service and Provision of Care plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

Provide personalized care and service by consistently demonstrating our I CARE values:

• Integrity: We are honest and ethical in all we say and do.
• Compassion: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
• Accountability: We hold ourselves accountable for all our actions.
• Respect: We treat every individual as a person of worth, dignity, and value.
• Excellence: We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Manages relationships within the department and across the Houston Methodist system to ensure customer requirements are known and met, and to ensure smooth implementation of program objectives.

Effectively communicates program information and progress to stakeholders; manages all communication channels with other departments and groups.

Maintains high visibility of program and interactions with the appropriate executives and stakeholders.

May supervise law student interns.

Designs, develops, and implements the program elements. Provides consultative services as needed to drive the program to successful outcomes. Leads system-wide development, promotion and maintenance of assigned components of the Business Practices Program.

Designs, delivers and assesses educational materials for use in training modalities. Provides detailed analysis and reporting as necessary to senior management. Develops materials & presentations for various stakeholders.

Validates program and project prioritization with senior management.

Ensures adherence to standards and compliance with regulations. Identifies the need for and leads efforts to write policies, protocols and procedures to address system-wide business practices issues including drafting and working with others to adopt. Manages system-wide special projects that require research, data collection, analysis of processes and evaluation of applicable regulations and guidelines.

Initiates quality improvement activities, including the use of benchmarking and sharing of best practices.

Accountable for adhering to approved budget and program/project timeframes.

Ensures progress against annual goals for the program and program objectives.

Approaches projects and assignments in a fiscally responsible manner.

Collaborates and networks to develop and seek out best practices.

Independently seeks opportunities to identify and streamline inefficiencies.

Builds strategies for growth, development, and promotion of the program and oneself.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Doctor of Juris Prudence (JD) or Master's degree in Health Administration

Five years' experience working in Health Care compliance

N/A

Certified Healthcare Compliance (HCCA) OR Certified in Healthcare Research Compliance (HCCA) OR Certified Healthcare Privacy Compliance (HCCA) OR Certified in Healthcare Compliance Fellow (HCCA) OR Registered Health Information Administrator (AHIMA) OR Certified Professional Medical Auditor (AAPC)

Demonstrates the skills and competencies necessary to perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job

Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

Demonstrates leadership and influencing skills at all levels of the organization

Ability to lead, coordinate, and plan for delivering/driving business goals

Embraces strong business partnering approach

Strong project management skills

Business professional

On Call* Yes

May require travel within the Houston Metropolitan area Yes

May require travel outside Houston Metropolitan area Yes

Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.

In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.