Job Description

Job Title: Sr. Compliance Analyst-COI
Job ID: 180001DG
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Corporate Compliance
Location: 600 Grant St, Pittsburgh PA 15219

Description

Under the direction of the Compliance Director, the Senior Compliance Analyst, Conflicts of Interest is primarily responsible for supporting the organizational oversight, mission and goals of the Conflict of Interest Committee. The analyst will maintain and interpret the Conflict Policies as well as review new consulting agreements. This work includes complex analysis of data for company-wide initiatives and, research and analysis of conflict of interest regulations and industry guidance for dissemination across the UPMC organization. The position will also perform auditing and, monitoring, compiling reports of compliance activity, and conducting complex and sensitive internal investigations in support of the Corporate Compliance plan. The Senior Compliance Analyst, COI will also provide guidance and support to entity Compliance Officers throughout the organization. The incumbent is expected to contribute to the implementation and success of ongoing departmental goals.
 
Responsibilities:

  • Develop thorough understanding of UPMC Conflicts and Industry Relations Policies (the Policy) and Regulatory environment and implement Policy as required for UPMC employees' Industry and other relationships.
  • Review and/or audit Consulting Agreements for compliance with the Policy at the request of Department Chairs and Executive Administrators within University of Pittsburgh Physicians, and other UPMC leadership, for employee engagements with outside Industry, to include: physician consulting agreements, advisory board agreements, speaker agreements, etc.
  • Navigate internal and external databases to mine information and ensure appropriate enforcement of UPMC policies, to include the Policy.
  • Engage in initiative for Conflicts of Interest disclosure completion across UPMC and collect and monitor Compliance Watch results.
  • Assist in establishing and maintaining departmental and system-wide policies, procedures and tools to support compliance activities.
  • Assist leadership on special projects, as assigned.
  • Contribute to ongoing departmental goals.
  • Secondary support responsibilities may include: Assist in meeting various regulatory filing requirements to government agencies, including those imposed under the Deficit Reduction Act and Health Insurance Portability and Accountability Act (HIPAA) Provide investigatory and research support for the UPMC Office of Patient and Consumer Privacy Provide corporate guidance and support to entity Privacy and Compliance Officers throughout the organization Monitor and report on Compliance Helpline (hotline), Exit Interviews, related matters and other miscellaneous compliance projects, as assigned Perform chart reviews and associated research to assess compliance with coding and billing regulations.

Qualifications

  • Bachelors Degree is required. 
  • Masters Degree or above preferred, in Health Care Administration, Business Administration, Informatics or Law
  • Five years of health care, compliance, contract or other related work experience.
  • Ability to work in a fast-paced environment while demonstrating a high degree of professionalism, enthusiasm and initiative.
  • Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences.
  • Proficiency with associated technology solutions such as Microsoft Word, Excel, Outlook and Access
Preferred:
  • Experience in an academic medical center or university setting and/or conflict management planning.
  • Technical acumen and the ability to learn and identify best practices relating to new technology solutions.
  • Experience researching and interpreting regulation and performing internal investigations.
  • Attention to detail is critical to the success of this position, as is the ability to deal with ambiguity.
  • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities.


Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $24.27 to $41.99 / hour

Union Position: No

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