UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. UW Medicine owns or operates UW Medical Center (UWMC), Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Medicine Neighborhood Clinics, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities, interests and networks, including healthcare components of the University of Washington, In addition, UW Medicine shares ownership and governance of Children's University Medical Group and Seattle Cancer Care Alliance – a partnership among UW Medical Center, Fred Hutchinson Cancer Research Center, and Seattle Children's.UW Medicine Compliance oversees the maintenance, coordination, and development of a central compliance program and Entity compliance programs across a wide range of risk areas, including clinical billing integrity, fraud, waste, and abuse prevention (facility and professional fee clinical documentation/coding/billing, clinical research billing), conflicts of interest, Stark/Anti-Kickback/False Claims Act, privacy and information security, EMTALA, ethics and professionalism, and industry relations. Program functions include development of governance and policy standards, education and training, auditing and monitoring, reporting mechanisms, investigations, enforcement, risk assessment and mitigation, regulatory monitoring and program modification, and on-going evaluation and reporting of program effectiveness.The Patient Information Protection Program functions include development of governance and policy, education and training, auditing and monitoring, reporting mechanisms, investigations, enforcement, fulfilling patient privacy rights, risk assessment and mitigation, regulatory monitoring and program modification, and on-going evaluation and reporting of program effectiveness. The Patient Information Protection Program interfaces with other UW Medicine and University offices on issues related to IT services, risk management, internal audit, grants and contracts, and research.UW Medicine Compliance has an excellent opportunity for two Compliance Specialists.The Compliance Specialists utilize independent judgment and professional level analysis in order to respond to inquiries, investigate complaints, conduct compliance audits, monitor regulatory changes, and develop and implement policies, procedures, and educational and outreach materials.Using statistical and data analysis, the Compliance Specialists develop conclusions and recommendations, performance metrics, trending and analysis, and strategic planning and analysis that inform the program's risk assessments and risk mitigation strategies.RESPONSIBILITIESThe Compliance Specialists responsibilities are broken down below by the estimated amount of work time dedicated to each area/task.Utilizing independent judgment, respond to consultation requests, investigate allegations of non-compliance involving complex fact patterns and analysis, draft investigation reports, and work closely with management and human resources to evaluate necessary corrective actions. (40%)Lead in the development and implementation of the Patient Information Privacy Program's work plans, policy development and review, education and outreach, and special projects as assigned. (10%)Actively participate in UW Medicine committees where Patient Information Protection matters are addressed. (10%)Serve as a patient information privacy content expert for the UW Medicine enterprise. (5%)Serve as an essential point of contact with the Patient Information Privacy Program's institutional partners, such as UW Health Sciences Risk Management, Enterprise Records and Health Information, Patient Financial Services, Patient Relations, UW Medicine and UW Information Security, UW Privacy Office, and UW Human Subjects Division. (5%)Ensure contracts satisfy regulatory requirements for business associates. (5%)Engage cross-departmental decision-making when necessary to resolve matters of shared concern. (5%)Maintain documentation of compliance actions, activities, or assessments (including investigations, patient rights, audits, process improvement projects, and corrective action plans) in accordance with state and federal law and institutional policies. Retain records in accordance with the UW Retention Schedule and department policy. (5%)Analyze program metrics in order to recommend process improvements to the Patient Information Privacy Program's internal operations as well as external operational units. (5%)Monitor regulatory developments and assess impact to the Patient Information Privacy Program's policies in order to maintain compliance and mitigate risk. (5%)Other duties as assigned. (5%)REQUIRED QUALIFICATIONSBachelor's degree and 6-8 years increasingly responsible related experience, including complaint investigation, training, and policy interpretation (or an equivalent combination of education and work experience).Knowledge of federal and state laws related to patient privacy and information security.Proficiency with MS Office applications, electronic medical records systems, databases, and similar information systems.Successful experience in working both independently and in teams.Proven leadership, communication, organizational, team-building and critical thinking skills.Demonstrated ability to establish positive and courteous working relationships, effectively manage competing priorities, and accurately complete highly detailed work.Ability to work within a complex environment and leverage resources to meet the needs of clients, customers, and coworkers.Demonstrated ability to communicate effectively orally and in writing with all levels of management and medical staff.Ability to follow established guidelines and policies when making decisions and demonstrate sound judgment in making decisions when there is no precedent/guideline.Demonstrated problem solving skills: Consider problems from all perspectives, and thoughtfully and responsibly consider all relevant impacts and implications before making a decision; make effective and timely decisions, even with limited data and without unnecessarily referring to others; recognize who needs to be involved in decisions and engage them when appropriate.Willingness and ability to effectively contribute to projects in a shared leadership model.Ability to handle highly confidential information in a professional manner.DESIRED QUALIFICATIONSMaster's and/or advanced degree in healthcare administration, business administration, information technology, law or related field.Certification in healthcare compliance, privacy or security.Experience in an academic healthcare environment.Proficiency with electronic medical records systems, databases, and related automated systems.Knowledge of investigative and auditing principles.Experience working in a clinical environment.CONDITIONS OF EMPLOYMENTUW Medicine Compliance manages a significant volume of audits, inquiries and consultations. Work priorities shift in response to fluctuating demands. Full time schedules are assumed to be at least 40 hours, however, incumbents are expected to remain flexible to accommodate the unit's goals and mission, and to work beyond their normal schedule when necessary.Application Process:The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These assessments may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.