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East Carolina University

Location: GreenvilleNC 27858 Document ID: A7412-08RS Posted on: 2014-05-0605/06/2014 Job Type: Regular

Job Schedule:Full-time


Job Description: Serve as the chief administrator of the Office of Compliance, providing supervision to all employees and with accountability of all aspects of the finances and work product of the Office.

The CIIO reports directly to the Associate Vice Chancellor for Healthcare Regulatory Affairs for all compliance activities related to the Division. The CIIO also serves as the University's HIPAA Privacy Officer; in this role, the CIIO reports to the Vice Chancellor for Health Sciences.

Primary Purpose of the Position:

Oversee and develop Office goals, objectives, annual workplan and budget.

Prepare and supervise the distribution of compliance and institutional integrity activities across the Division of Health Sciences, including:

A written code of conduct for BSOM setting forth the ethical principles upon which individual behavior and institutional policies should be based;
A structured, detailed and explicit compliance program; and
A written and ongoing compliance plan.

Make presentations on the compliance program to the Division of Health Sciences administration, the ECU Physicians Board of Directors, and other officials as needed.

Develop successful compliance solutions that respond to available assessments of the Division of Health Science compliance activities, OIG Annual workplans, and other relevant directives and guidance from regulatory bodies.

Supervise the preparation and submission of reports to the Division of Health Sciences leadership which will include a detailed discussion of the Office's activities including, but not limited to: specific results of assessment and monitoring activities; identified deficiencies and remedies; identification of new or newly discovered compliance risks; new policies or implemented programs; progress on the previous year's goals; plans for the impending year, etc.

These reports will also be appropriately provided to the ECU Board of Trustees.

In the present era of increasing regulatory oversight of healthcare and related activities, developing a culture of compliance across an organization is very important. The CIIO will work with Division executives to maintain an atmosphere that welcomes questions on how a provider, faculty member, or administrator can achieve their desired goals within the boundaries of what is permissible by law or regulation. This calls on the CIIO to be collaborative in their communication, planning, and action .


Identify regulatory compliance obligations of ECU regarding HIPAA for all relevant employees and learners.

Maintain a comprehensive HIPAA compliance and education program for the health care components of ECU and other units as appropriate.

Serve as HIPAA privacy consultant to the University for all departments and appropriate health care components.

Provide leadership, guidance and assistance, in association with the Office of University Counsel, in the preparation of written guidelines, policies, procedures, and standards of conduct on specific legal and regulatory issues involving medical, business and administrative practices at ECU as related to HIPAA requirements.

Develop and oversee the implementation of timely educational training programs for employees and administrative officials to ensure sufficient understanding of relevant federal and state law, regulations and institutional policies involving ethical, legal, business and clinical practices dealing with HIPAA.

Oversee the delivery of initial orientation and annual HIPAA privacy training for all employees, volunteers, medical and professional staff, contractors, alliances, and other appropriate third parties as required.

Oversee and promote activities to foster information privacy awareness within the University and related entities.

Minimum Qualifications: Master's Degree, its equivalent, or higher, in nursing, law, healthcare administration, finance, medicine, or related discipline from an appropriately accredited institution.

Five years of experience or more in clinical or healthcare administration settings.

Three years of experience or more in compliance or HIPAA privacy in medical school, hospital or other healthcare settings.

Basic understanding of the general principles of health care law, compliance, and risk management.

Specific knowledge of the relevant key laws and regulations governing health care compliance, including areas such as HIPAA, Medicare and Medicaid, research compliance, regulations relating to physicians in teaching hospitals, etc.

Excellent written and verbal communication skills and report preparation skills.

Supervisory experience/ability and leadership style that emphasizes teamwork, communication, collegiality, flexibility, and fostering success for each employee in the office.

Perferred qualifications:

Knowledge of university, academic medical center, and healthcare settings.

Familiarity with issues related to electronic medical records, audit processes & procedures, and health care reimbursement in an academic medical setting.

Familiarity with relevant licensure, accreditation and certification requirements.

Knowledge of the issues and challenges facing the clinical, education and research components of a healthcare enterprise with ability to adopt compliance management efforts to effectively respond to changes in health care practices, legal/regulatory changes, and technological trends.

Ability to devise appropriate solutions to compliance issues.

Ability to build and maintain strong, collaborative working relationships with academic leaders, faculty, clinical professionals, staff, and learners.

Achievement as Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Compliance & Ethics Professional (CCEP) or Certified in Healthcare Privacy and Security (CHPS) is desirable.

Special Instructions to Applicants: East Carolina University requires applicants to submit a candidate profile online in order to be considered for the position. In addition to submitting a candidate profile online, please submit online the required applicant documents:

Curriculum Vitae
Letter of Interest
List of Three References (noting contact information)

Questions may be emailed to Dr. Nicholas Benson, bensonni@ecu.edu.

Date Initial Screening Begins: 10-28-2013

Job Close Date: Open Until Filled

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