Job Description

Under the supervision of the Director of Compliance for Education, Training, & Regulatory Monitoring, the analyst will assist with the management, development, implementation and monitoring processes to ensure compliance with federal and state laws and regulations affecting the University of Maryland Medical System (UMMS) and its Member Organizations.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by the individuals assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel.

Principal responsibilities of a Corporate Compliance Analyst include:

1. Coordinates all education and training initiatives for the UMMS system and Member Organizations.
2. Reviews existing content and assists in the creation of new content as and when identified. Offerings including but not limited to: * Annual training development * New Employee Orientation content * New Manager training * Compliance Week activities * Additional training as identified
3. Under supervision by the Director of Compliance Education, Training and Monitoring serves as a consultant to UMMS operations personnel including member organization Compliance Officers for compliance questions and collaborate with member organization management personnel in the development of education and training initiatives.
4. Assists in the coordination of planning committees for all education and training initiatives, including external guest speakers and boot-camps.
5. Assists Director of Compliance Education, Training and Monitoring in creation and execution annual compliance work plan.
6. Conducts audits/reviews and performs analysis to determine compliance with applicable federal and state laws, policies, and procedures. * Monitors data and trends to determine deficiencies and/or areas for further investigation and provides recommendations. * Prepares reports to meet the needs of the Director of Compliance, Education, Training and Monitoring, UMMS executive management, and the Audit and Compliance Committee of the Board of Directors. * Researches compliance-related topics such as Privacy regulations, Conflict of Interest Standards, Billing & Coding, policy development and healthcare regulations.
7. Under direction of the Director of Compliance, Education, Training and Monitoring the Compliance Education, Training and Regulatory Monitoring Analyst is also involved in ongoing projects which may include, but, are not limited to: * System standardization efforts, implementation of software applications, and /or strategic input for new service lines and technologies. * Representing compliance, providing guidance, and assists organizational business leaders to implement new of modified programs that reflect multidisciplinary expertise and engagement.

Compliance Program Metrics

1. Manages validation of Compliance Program Metrics, identifies gaps and develops and reports aggregated data by member organization (MO) e.g., Develops management and committee reports based on aggregated System data. * Collects documentation from Compliance Officers quarterly and annually regarding their Compliance Program Metrics and assists in determining documentation is appropriate, reviews for statistical accuracy, meets standards, requests more information if required, and ensures it is complete. * Works collaboratively with Member Organization Compliance Officers in understanding and continually monitoring the metrics, identifying educational gaps and develops process and training tools to close those gaps. * Completes required metrics summary chart and highlights overview for management presentation. * Validates data as requested and makes recommendations to improve the accuracy of the data. Presents ideas for modifications and additions to the metrics to make the Compliance Program more robust or measure compliance outcomes.

Qualifications

1. Bachelor’s degree in business administration or healthcare or a relevant field required.
2. Five (5) years of work experience in a business, professional or health care environment, including one year experience in Compliance, Internal Audit, Billing, Coding, Education and Training, Case Investigations, Research or equivalent related fields is required.
3. Experience with data analysis tools and techniques are preferred.
4. Clinical background in healthcare preferred

Knowledge, Skills and Abilities

1. Must be able to maintain confidentiality of all compliance related or other reported issues.
2. PC literate with intermediate proficiency in Microsoft Office Suite, Visio, Internet and data analysis tools and techniques.
3. Effective verbal, written and interpersonal skills to communicate with colleagues, patients and/or visitors to establish strong working relationships.
4. Strong problem solving and decision-making skills.
5. Knowledge of Learning Management Systems (LMS)
6. Knowledge of risk assessments and monitoring activities related to compliance risks.
7. Knowledge to effectively communicate with health care providers at all levels.
8. Strong analytical skills.
9. Ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team.
10. Self-motivated. Able to evaluate the scope of each day’s work and use time management and organizational skills to accomplish assignments.

Additional Information

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