Internal Close Date: 08/03/2021
Requisition Number: 15627785
Position Code: 1240
Department: Compliance
FTE Status: 1
Position Type: BUDGETED
Shift: Days
Salary Range: Market competitive, based on experience

Internal applicants - please refer to the job description on the Compensation Department intranet site for wage rate information.

Position Summary:
Performs data analysis to evaluate the various compliance initiatives and activities of the UNM Health System. Assists in the development and implementation of strategies to identify and mitigate risk in a quickly evolving health care regulatory landscape. Works closely with the UNM Health System Executive Director of Compliance to implement the Compliance Plan generally, with a substantial focus on research and trend analysis, to ensure that all potential compliance matters, including instances of fraud, waste or abuse, are identified, tracked and appropriately reported. Ensures adherence to Hospitals, departmental policies and procedures, and accreditation requirements. No patient care assignment.
  • EXPERTISE – Serves as the Health System Compliance Department subject matter expert in identifying risk areas, recommending projects and performing research and analysis

  • EXPERTISE – Has primary responsibility for monitoring, tracking and reporting monthly and quarterly metrics such as Learning Central and Navex/Hotline statistics and results

  • EDUCATION – Makes recommendations for educational opportunities identified through Compliance Department research and data analysis

  • COORDINATION - Assists in developing system-wide (e.g. Learning Central) or department specific education and training materials

  • COORDINATION - Participates in planning research projects, data analysis and data mining projects. Provides guidance and expertise to other staff who conduct research or data analysis

  • RESEARCH - Actively monitors federal, state and local medical coding and billing literature, updates and websites to identify and address regulatory or statutory changes

  • TECHNOLOGY - Uses technology as required to conduct research and data analysis using internet and intranet resources

  • COMMUNICATION - Participates in Health System committees, meetings and work teams/projects as requested

  • COMMUNICATION – Prepares, distributes and presents summary reports in various formats including written, Power Point, virtual/Zoom, online and in-person

  • Education Requirements:
  • Bachelor's Degree in related discipline

  • Experience Requirements:
  • 3 years directly related experience

  • Experience Requirements - Preferred:
  • 5 years directly related experience

  • Physical Demands Requirements:
  • Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

  • Licensure/Certification Requirements - Preferred:
  • Certified in Health Care Compliance (CHC)

  • Professional licensure as appropriate to the clinical objectives of the unit:
  • Certified in Health Care Compliance (CHC)

  • Working Conditions Requirements:
  • May be required to travel to various work sites

  • No or min hazard, physical risk, office environment