About this role
Using advanced knowledge required for the complex analytical functions of this job, the Analyst conducts compliance and privacy investigations using expertise of investigative procedures, research, and analysis, applies independent judgement and critical decision making to determine regulatory compliance risk to patients and the organization. The Analyst uses the advanced knowledge of the regulatory compliance profession, and research and auditing procedures. Uses professional verbal and written communication skills to document and communicate results and findings of compliance research, analysis and decision- making. Ensures health system compliance with applicable regulatory, accreditation and requirements.
1. Identifies, researches and analyzes compliance and regulatory risk
Researches and collects all data points relevant to the issue being investigated.
Using advanced knowledge of federal, state and local regulations, analyzes the actual and/or potential compliance risk to patients and the organization.
Demonstrates expertise in effectively interviewing witnesses.
Makes a determination of risk based upon discretion, judgement and regulatory analysis.
Comprehensively documents all aspects of the investigation; communicates determination to all stakeholders and involved parties.
Oversees corrective action plans and strategies to mitigate the compliance risk.
Reports and communicates findings to federal agencies as appropriate.
Partners with CISO and HIT Information Security team on HIPAA related matters
Provides effective coordination of departmental projects/operations.
Project goals are established in collaboration with leadership and are aligned with the goals and objectives of the department.
Project plans are developed and implemented to meet goals.
Project progress is monitored and adjustments are made to meet deadlines.
Internal and external resources are utilized in an efficient and cost-effective manner.
Responsibility is assumed as the primary point-of-contact for projects.
Works with internal and external partners to ensure an integrated process.
2. Identifies and resolves problems.
All relevant issues, stakeholders and broad systematic implications are considered when making decisions.
Questions and issues are directed to appropriate resources.
Follow-through is maintained on committed actions in a timely manner.
Problem-solving and creative thinking processes that lead to the development and implementation of new approaches and methods are facilitated at every opportunity.
An environment of continuous improvement, best practices and quality outcomes is fostered.
Competing demands, shifting priorities and organizational constraints are adapted to appropriately.
Specific information needed for clarification or action is identified to reach desired outcomes.
3. Ensures compliance with applicable laws and regulatory requirements.
Knowledge of regulatory, accreditation and health system requirements is demonstrated through correct application to projects.
Project activities are monitored continuously to ensure compliance.
Reports are prepared that are comprehensive, accurate and timely.
Responses to regulatory agencies are prepared in a timely manner for review by leadership.
Recommendations for Medical Center and health system policy and procedure changes are formulated based on regulatory changes.
On-site surveys and audits of project activities and documentation are conducted per project plan and needs.
4. Develops effective networks and represents the Medical Center and health system.
Innovative solutions are produced by working cooperatively with others.
Relationships with people whose assistance, cooperation, and support may be needed are built recognizing their concerns and perspectives.
A network of contacts, within and outside the health system is developed, maintained and accessed appropriately.
Participation in internal and external committees and work groups is conducted in a professional manner.
5. Communicates appropriately using good interpersonal skills.
Positive, professional demeanor is projected through verbal and non-verbal communications.
Information for patients and staff is delivered in a manner that is supportive, timely and understandable.
Interpersonal conflicts are resolved using appropriate methods and organizational resources, including but not limited to Employee Relations Services and Faculty Employee Assistance Program.
Diverse perspectives are acknowledged; language and behaviors are modeled that build inclusiveness in the work environment.
Ideas and suggestions are clearly communicated.
Clarification of communication is requested when appropriate.
6. Serves, manages and supports internal and external customers.
Privacy is maintained at all times for patient and employee information.
Actions are initiated to meet or exceed customer/co-workers expectations in delivering service by implementing the I Make the Difference philosophy (Ownership begins with me; Greet customers by making eye contact and smiling; Provide positive, professional and prompt responses, e.g. helping visitors find their way; Close every interaction with – Is there anything else I can do for you?).
Appropriate resources throughout the Organization are used consistently to meet customer needs.
Relationships with staff in other work areas are fostered to meet internal and external customer needs.
Positive working relationships with peers, management and customers are maintained at all times.
Organizational Mission and Values of Accountability, Stewardship, Professionalism, Integrity, Respect and Excellence are evident in behaviors.
7. Participates in performance improvement activities.
Participation in Performance Improvement activities and initiatives is on-going.
Initiative is demonstrated to proactively diagnose and resolve problems.
Change is met with positive, supportive behavior.
8. Participates as a team member and is accountable for own work responsibilities.
Time off is scheduled to avoid disrupting workflow.
Help is offered to others to solve problems and complete tasks to facilitate communication and positive team dynamics.
Productive work habits are consistently displayed.
Accountability for actions and decisions is demonstrated in daily work.
Feedback is solicited and accepted in a positive manner.
Constructive input is offered to support the work unit.
MINIMUM REQUIREMENTS
Education: Bachelor’s Degree preferred, or Equivalent Education and Experience in hospital and/or academic medical center compliance and privacy related field.
Experience: At least 3 years of experience in a compliance and privacy related field.
Licensure: Healthcare compliance certification through the HCCA is preferred.
PHYSICAL DEMANDS
Job requires frequently walking (distance: 1 mile). Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs.
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.
Other facts
About University of Virginia
UVA Physicians Group (UPG) was founded in 1979 as a supportive partner to UVA Medical Center and UVA School of Medicine. For over 40 years, UPG has been committed to improving the lives of UVA Health physicians & providers and to the mission, vision and values of UVA Health in service to our patients throughout the region.
UPG is an administratively supported group practice which operates as a collaborative UVA Health entity supporting UVA Health physicians & providers at UVA Medical Center and in a number of Clinical Practice Group (CPG) locations throughout Charlottesville and the Commonwealth of Virginia.
Over 900 UVA clinical faculty members are dually employed through UPG and UVA School of Medicine's 21 clinical departments. UPG also employs nearly 200 advanced practice providers and other clinicians within UVA clinical departments, and approximately 150 physicians, advanced practice providers & clinicians in practices locally and regionally.
In addition to its clinical role in supporting the University’s mission to deliver world-class patient care, UPG provides administrative and financial functions that support care delivery and clinical management. Approximately 400 UPG team members fulfill these administrative and financial roles in Charlottesville locations and in clinics across the Commonwealth.
UPG is an independent 501(c)3 University Associated Organization (UAO) and is governed by its own Board of Directors with a public majority.
What you'll do
- The Compliance and Privacy Analyst conducts investigations into compliance and privacy issues, applying regulatory knowledge and analytical skills to assess risks. They document findings, oversee corrective actions, and ensure compliance with applicable laws and regulations.
Ready to join University of Virginia?
Take the next step in your career journey