Parkland Health & Hospital System
Grand Prairie, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Parkland Health & Hospital System
Fort Worth, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Parkland Health & Hospital System
Arlington, Texas
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Parkland Health & Hospital System
Grand Prairie, Texas
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Parkland Health & Hospital System
Fort Worth, Texas
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
10/06/2025
Full time
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details
Parkland Health & Hospital System
Arlington, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
Parkland Health & Hospital System
Arlington, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE Contribute to achieving Parkland Health goals as it pertains to the assigned program priority. Assist in identifying the required framework and build the infrastructure to support an effective and efficient program service line across Parkland Health and Dallas County. As part, develop and coordinate health professional training, patient education programs and community outreach activity optimize program effectiveness. Manage staff as assigned. MINIMUM SPECIFICATIONS Education: Must have a Master's degree in Nursing, Business Administration, Health Administration or related field. Experience: Must have 8+ years of professional experience in Transplant Services and Peritoneal Dialysis operations and/or assigned program. Skills or Special Abilities - Thorough awareness of the Scope of Practice, Standards of Practice, and Standards of the program. - Knowledge and experience dealing with program oversight programs and data management platforms. Maintenance of accreditation and specialty certification for area of specialty. - Proficiency, creativity and innovation in establishing and evaluating program process and outcome measures, with alignment to both organizational and programmatic mission and vision. - Demonstrate the ability to execute on operational deliverables of goals and provide ongoing updates of improvements. - Demonstrate the ability to manage multiple operational teams for the delivery of clinical programs, with a focus on operationalizing strategy within the assigned program. - Demonstrate effective verbal and written communication skills in working with a diverse population of physicians, nurses, and business support staff. Must partner with designated service line leadership. - Communicates and conducts briefings with senior or executive leadership regarding ongoing operations and strategic initiatives. - Must have effective leadership skills and be capable of motivating, recruiting and educating staff through program adaptations. - Provides exceptional customer experience through an atmosphere of respect and courtesy, listening and responding, and providing clear expectations. - Proficient in developing and sustaining collaborative partnerships, through effective community engagement strategies. - Must demonstrate person-centered/person valued behaviors. - Demonstrate knowledge and skill in resource management including fiscal management to include grants, if applicable, budget and personnel practices. - Superior writing skills to compose grant proposals, course outlines, manuals and reports. - Demonstrate a working knowledge of personal computer operations and the ability to use word processing, spreadsheet, and database software in a Windows environment. Responsibilities In collaboration with the Program Medical Director, responsible for effective and efficient operations in the assigned program. Ensures the effective integration of strategy and operations achieving the defined key service line goals and objectives to enhance delivery to patients in the continuum of care. Develops and leads key service line initiatives across Parkland Health. Evaluates clinical and financial program outcomes to include program grants, if applicable. In collaboration with the Program Medical Director and Parkland Health leaders, engages stakeholders to implement clinical best practice guidelines with standardized documentation. Actively works to enhance the relationship with outside partners to better align quality of care and financial incentives. Develops and implements program strategies that will provide an exceptional person-centered experience through a seamless care delivery system and innovative care models to improve quality outcomes, reduce unnecessary clinical variations, improve coordination across the continuum and help implement care consistent with state and national clinical guidelines. Fosters collaboration and communication strategies throughout Parkland Health by engaging stakeholders including executive leadership, providers, staff and community members through the formation of strategic alliances and development of effective communication pathways. Standardizes processes and makes them reliable, measurable, sustainable and easy for staff and patients. Improves and provides timely access to care. Decreases emergency department and inpatient visits for managed patients using evidenced based intervention. In collaboration with Parkland Health committees and Co-Chair, responsible for programs obtaining and sustaining accreditation, recognition by necessary agencies and commissions. Co-facilitates multi-disciplinary meetings with the assigned program triad to include the director of nursing and program medical director. In collaboration with Parkland Health leadership, participates in the quality practice Initiatives and other necessary certifications and credentialing. In collaboration with Parkland Health leadership, ensures participation in Centers of Medicaid Medicare Innovation s programs and any other alternative payment models that may help drive improved patient engagement and access to care. Assists in identifying and harnessing collaborative community partnerships to enhance patient engagement with disease management and access to needed community resources and supports, as appropriate. Represents Parkland in national and local organizations, initiatives, and conferences pertaining to assigned program to optimize professional excellence, networking, partnerships and awareness of patient and professional initiatives within Parkland. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of Parkland. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
Parkland Health & Hospital System
Fort Worth, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
Parkland Health & Hospital System
Arlington, Texas
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience Minimum of eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with information privacy and security-related activities such as policy design, investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, assessing their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Privacy Compliance (CHPC) Certified Information Privacy Professional/United States (CIPP/US) Certified in Healthcare Privacy and Security (CHPS) Certified in Healthcare Compliance (CHC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Serves as the organizational Privacy Officer operating under the direction of the Chief Compliance and Ethics Officer. Responsible for the oversight of all activities related to compliance with federal and state laws and ethical business practices governing privacy of health information. Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Strategy Manage the effective implementation of the information privacy components of Parkland's Ethics and Compliance Program ("Program") across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program and compliance and ethics reporting activities. Regulatory Manages a team of compliance professionals responsible for developing, implementing and monitoring components of the Program to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). This includes adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), Texas Office of the Attorney General (OAG) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details
10/06/2025
Full time
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for managing the effective implementation of the regulatory compliance components of Parkland's Ethics and Compliance Program ("Program") across the health system while working with key stakeholders to maintain compliance with federal healthcare program requirements. Minimum Specifications ONSITE Education Bachelor's degree in business administration, finance, healthcare administration, public health, or related discipline required. Master's degree in business administration, finance, healthcare administration, public health, or related discipline preferred. Experience A Minimum eight (8) years' experience in healthcare operations or compliance, preferably with a large, multi-faceted healthcare company or academic medical center required. Experience with Program activities such as investigations and reporting, auditing and monitoring, education and training, risk assessments and mitigation/remediation procedures required. Experience with interpreting state and federal requirements applicable to the organization, conducting an assessment of their impact and making recommendations to operational stakeholders to ensure compliance required. Experience with staff supervision and leading interdisciplinary teams required. Equivalent Education and/or Experience Seven (7) years of experience in a comparable position may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Certification in one of the following areas of healthcare compliance is required: Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) Certified Professional Compliance Officer (CPCO) Certified in Healthcare Research Compliance (CHRC) Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of regulatory requirements and standards applicable to the healthcare environment. Sound business acumen. Mastery-level proficiency with Microsoft applications, telecommunications tools, software and applications most commonly used in the healthcare environment. Responsibilities Operations Manage a team of compliance professionals responsible for developing, implementing and monitoring components of Parkland's Compliance and Ethics Program ("Program") to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct and Ethics ("Code"). Serves as the departmental project manager for system-wide initiatives with a regulatory compliance component. Monitor the external environment to ensure timely assessment of regulatory guidance, adherence to specific requirements and the implementation of industry best practice. Coordinate timely and accurate responses to third-party audits and/or inquiries, including government agencies and contractors. Develop, implement, and refine compliance policies, procedures, and best practices governing research and academic activities. Strategy Responsible for managing the effective implementation of the regulatory compliance components of the Program across the health system. Manage cross-functional intradepartmental teams focused on compliance activities and setting and managing milestones and deliverables to achieve stated outcomes. Manage timely completion and quality outcomes associated with interdepartmental performance indicators, work plan activities and other information privacy-related responsibilities of the program. Develop, implement, educate, monitor, and provide continuous improvement of the core components of an effective information privacy program, including but not limited to policies and procedures, conflicts of interest disclosure program, federal exclusion screening program, and compliance and ethics reporting activities. Regulatory Ensures adherence to the requirements and guidance set forth by various regulatory authorities, such as the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and Texas Health and Human Services (HHS). Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Annual performance appraisals are completed timely. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity . click apply for full job details