Director of Compliance

The Director of Compliance works under the direction of the Chief Compliance Officer and will be responsible for the management and oversight of UNLV Health’s Compliance Program ensuring that the Compliance Program is effective and efficient in preventing, detecting and responding to potential instances of violations of law, UNLV Health policies and procedures and unethical conduct.

Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions.

ADVANTAGES OF WORKING FOR UNLV HEALTH

• Working Monday through Friday, 8AM to 5PM. (Actual hours may vary depending on business need)
• 12 Paid Holidays per year, starting with your first day of employment!
• 20 + PTO days per year! (Depending on Position)
• 3% 401K Contribution, even if you do not contribute!
• Medical, Dental, and Vision benefits that start the first of the month following your start date!
• And more!
  
  

Major Responsibilities

Reviews, revises, executes, manages the corporate compliance plan, and coordinates activities with all involved departments.

Monitors corporate compliance plan performance standards to ensure compliance with all contractual and regulatory requirements.

Assists with maintaining the UNLV Health contract database.

Provides organizational leadership (e.g. administrators, directors, managers) with assistance in assessing, developing, and implementing appropriate controls and mitigation strategies to support a culture of compliance.

Collaborates with the Compliance Officer to manage the HIPAA privacy and security programs.

Conducts proactive reviews of compliance issues with high-risk processes or issues; initiates and oversees remediation as necessary.

Collaborates with the Chief Compliance Officer in developing work plans and risk assessments and identifies potential areas of compliance vulnerability and risk.

Manages fraud, waste, abuse, and compliance investigations including corrective action plans.

Assists in the overall review of organizational activities to ensure compliance with standard operating procedures, policies, industry standards, and applicable federal and state laws.

Reviews and processes requests for disclosure of information (e.g., patient authorization).

Assists with corporate governance activities (e.g., committees, bylaws, filings).

Monitors and prepares reports on potential conflicts of interest.

Participates in the development and review of policies and procedures.

Conducts investigations of reported allegations or detected violations.

Creates and administers training programs and conducts awareness and communication campaigns.

Other duties as assigned.

Manages corporate insurance policies (e.g., renewals, claims, reporting)

Assists with employee safety programs.

Ensures leadership understands potential risks to their areas of responsibility.

Planning and executing annual risk-based compliance work plans and audit strategies

Designs and delivers training on regulatory compliance, HIPAA< and ethical standards to staff.

Audits and monitors performance, reporting top risks and remediation plans to leadership.

Monitors changes in federal, state, and local laws and regulations affecting healthcare operations and updates compliance programs accordingly.

Oversees the compliance hotline and ensures timely follow-up, documentation, and resolution of all reports.

Designs and delivers training on regulatory compliance, HIPAA, and ethical standards, including presenting compliance training to all new employees as part of onboarding.

Experience, Education, Nd Certifications

• Bachelor's degree.
• 5-10 years of healthcare compliance experience.
• Certified in Healthcare Compliance (CHC) certification or willing to achieve certification within one year of hire.
  
  

Knowledge, Skills, And Abilities

• Strong critical thinking skills and written communication skills.
• Knowledge of Medicare, Medicaid, FCA, Starke, Anti-kickback, OSHA, employment and anti-discrimination requirements.
• Knowledge of HIPAA and other information privacy and security requirements.
• Ability to protect and maintain the confidentiality of individual (employee, patient, or business partner) and organizational information.
• Must have the aptitude to learn, comprehend and assess complex administrative, clinical and operational processes, workflow, and business arrangements to identify deficiencies, opportunities and risks.
  
  

Physical Requirements

• May include standing, sitting, and/or walking for extended periods
• May include performing repetitive tasks
• May include working on a special schedule (i.e., evenings and weekends)
• May include working with challenging patients and clients
• May include lifting up to 25 pounds
  
  

UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law.

If you have any questions about our interview and hiring procedures, please contact Recruitment at [email protected]