This position assists in developing and maintaining the compliance program for OHSU Healthcare in accordance with the Department of Health and Human Services (DHHS) and the Office of Inspector General’s (OIG’s) Guidelines for Hospitals and Physician Practices.  The position is responsible to help prevent, detect and correct compliance risks through the development and distribution of written policies and procedures to comply with state and federal laws and regulations; conducting effective compliance training; developing and maintaining effective lines of communication; responding to detected offenses and developing corrective action initiatives; as well as using auditing and monitoring to reduce/prevent issues, and the investigation and remediation of identified system problems and sanctioned employees.  This position should recognize and identify risks for risk assessment and planning, understand the review process well enough to design and supervise review projects, and communicate effectively in the review process or through education programs.    

 

The ideal candidate will be:

• Passionate about the value of data in transforming healthcare
• Comfortable translating technical concepts at all levels of the organization
• Comfortable with a blend of strategic analysis and direct project management
• Comfortable with rapid-change management and process improvement PDCA cycles
• Experienced with application development, preferably with healthcare interoperability

Strategy, Risk & Regulatory Expertise

• Assess OHSU’s current state and preparedness for HIE/API regulatory requirements and our ability to respond regulatory deadlines, third parties (internal and external) demanding action to build applications or functionality,
• API-driven reporting requirements in accordance with federal, state and local regulations.  
  • This includes the exchange of data for any treatment, payment and operations purposes, claim-processing or release of information tasks related to a specific API function.
• Develop, manage and oversee a workgroup to collaboratively define interoperability strategy for OHSU.
• Define and understand the requirements that OHSU missions desire for FHIR and non-FHIR API standards and coordinate technical solutions with appropriate owners.
• Develop an enterprise risk management framework (e.g. ASHRM ERM Framework) to facilitate effective decision making that can by leaders and the Health Information Exchange/Application Programming Interface Governance Task Force (HIE/API).
• Ensure all realms of compliance (Healthcare Integrity, Privacy, Security, IRB, etc.) are included in managing applicable regulatory expectations relative to interoperability requirements, including staying abreast of all federal and state laws, policies and rulemaking.

 

Project Management

• Initially PM the development of the program as defined above for strategy, risk assessment and regulatory requirements.
  
• Ongoing PM for initiatives and implementations approved, including delegating and coordinating with department-specific PMs/coordinators.
  
• All PM should follow standard process improvement/standard work appropriate for the initiative (LEAN, OPex, IHI or CQI).

 

Monitoring, Auditing and External Investigations

• Conduct reviews and audits of clinical risk areas particularly as identified by the HHS Office of the Inspector General using self-assessment questionnaires, verification procedures, and internal audits. Draft reports and recommendations of reviews and audits. Work with internal auditors and OHSU Legal department as necessary.
  
• Conduct follow-up audits of previous compliance issues to verify plan of actions have been implemented and followed.
  Work with the Clinical Integrity Officer on compliance program planning, including project planning with annual and quarterly time lines.
  
• Respond to external audits and government investigations, including reviewing documents, developing an action plan, coordinating work assignments, tracking time lines, and working with internal and outside legal counsel
  
• Represent the Healthcare Integrity department on committees and task forces and meetings. (May lead compliance projects and chair task forces/committees, including preparing agendas, leading meetings, and assuring task force goals are met.)
  
• Assist in identifying and assessing areas of compliance risk based on the OIG’s Annual Plans, awareness of Healthcare operations, new laws, rules, requirements, and government audits.
  Independently investigate (or delegate to other internal or external resources) and act on matters related to compliance.
  
• Respond to reports and inquiries from various reporting mechanisms (e.g.: compliance hotline, compliance email or OHSU employees, or other relevant stakeholders voicing concerns or asking questions.)
  
• Seek out and participate in activities to build relevant skills and keep up on technology changes. This may include, but is not limited to, attending training, conferences and user groups; reading vendor documentation, blogs and white papers; networking with peers.
  

• Bachelor’s degree in computer science, information technology, or other field with experience in IT.
  
• 5 years’ experience in a complex technology environment.
  
• Experience in project management, leading large programs
  
• Familiarity with a high complex administrative and financial environment.
  
• Strong interpersonal skills and evidence of previous success in dealing with staff (at all levels) including nurses, non-physician practitioners, physicians, and management.
  
• Excellent interpersonal, writing and public speaking skills.
  
• Ability to work independently, take initiative, exercise sound judgment, and meet deadlines.
  
• Maintain confidentiality where appropriate; able to participate in extremely sensitive situations.
  
• High degree of accountability, honesty and integrity.
  

• Master's degree in a related field.
• Interoperability or application development.
• Any process improvement credentials or certifications (e.g. LEAN, OPex, IHI, CQI)

#LI-SR2

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.


As an organization devoted to the health and well-being of people in Oregon and beyond, OHSU requires its employees to be fully vaccinated against COVID-19.