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Entity Compliance & Privacy Officer

_Bring your passion to Texas Health so we are Better + Together_

Work locations: This role is hybrid (remote and in office)

Primary work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012

Secondary work location: Texas Health HEB and Texas Health Denton (travel to these locations as needed)

Work hours: Full Time, 40 Hours; 8am-5pm

Compliance Departmental Highlights

+ Empowerment Through Purpose-Driven Work: Be part of a mission-driven environment that values your voice, supports your growth, and celebrates your contributions. We are committed to creating a workplace where every team member feels seen, heard, and empowered to make a meaningful impact.

+ Live the Promise Culture Every Day: Embody THR's core values of respect, integrity, compassion, and excellence. As a steward of compliance and privacy, you'll play a vital role in fostering trust and transparency, ensuring our practices reflect the heart of our organization's promise to patients, families, and each other.

What You Will Do:

ORGANIZATION AND OVERSIGHT:

Oversee, lead and administer the hospital compliance and privacy programs consistent with THR policies. Serve as Chair for Entity Compliance Committee and Privacy Committee for assigned entities. 25%

COMMUNICATION AND TRAINING:

Communicate the importance of compliance and compliance program to senior management, the hospital Board of Trustees, the entity compliance committee, and hospital employees. Increase knowledge of the relationship between services provided to patients, medical record documentation, reimbursement, and audit liability, and other pertinent compliance topics. Develop and/or implement education programs addressing compliance and privacy. Work in cooperation with Central Business Office and the THR Billing Compliance Committee on matters related to the hospital Chargemaster, billing and/or charging matters. Maintain specific knowledge and skills related to the THR Code of Business Ethics necessary to answering questions and providing guidance to hospital personnel on business ethics questions or concerns. Work in coordination with the THR Privacy Officer as needed to carry out privacy initiatives and activities. Lead hospital department leaders and staff in coordination of efforts pertaining to audits and/or compliance-related matters and topics. Motivate staff to use a variety of mediums and facilitate an atmosphere of teamwork and common goal achievement 25%

POLICIES, PROCEDURES, AND STANDARDS:

Oversee the application of THR System Compliance policies. Oversee the application of THR Privacy Program policies taking appropriate steps to mitigate damage from breach of privacy policies and practices, when necessary. Identify and assess areas of compliance and privacy-related risk and related internal controls for these risk areas. 25%

MONITORING, AUDITING AND ENFORCEMENT:

Oversee entity compliance and privacy monitoring and auditing activities and coordinate as needed with THR System Compliance staff. Communicate audit/monitoring findings. Monitor the day-to-day activities of the hospitals to further its compliance objectives. Conduct and oversee investigations as appropriate. Coordinate investigations with legal counsel and THR System Compliance Officer for major violations of law or policy. Oversee and follow-up, as applicable, implement corrective actions to investigations and other issues generated by the compliance and privacy programs. 25%

What You Need:

Education

Bachelor's Degree Req

Experience

5 Years Compliance and health information privacy regulations, policies and processes experience. Req and

Understanding of revenue cycle and reimbursement for federally funded programs and private payers. Req and

Prior compliance officer and/or privacy officer experience. Req

Multi-hospital experience. Pref

Licenses and Certifications

CHC - Certified in Healthcare Compliance Upon Hire Pref

CHC - Certified in Healthcare Compliance 12 Months Req

**Education** Bachelor's Degree Req **Experience** 5 Years Compliance and health information privacy regulations, policies and processes experience. Req and

Understanding of revenue cycle and reimbursement for federally funded programs and private payers. Req and

Prior compliance officer and/or privacy officer experience. Req

Multi-hospital experience. Pref **Licenses and Certifications** CHC - Certified in Healthcare Compliance Upon Hire Pref

CHC - Certified in Healthcare Compliance 12 Months Req **Skills** Knowledge of industry standards Medicare/Medicaid. Regulatory standards for affected area of responsibility. Knowledge of continuous improvement and change management. Excellent written and verbal communication skills. **Supervision** Individual Contributor **ADA Requirements** Working Indoors 67% or more **Physical Demands** Light Work

Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.