Duties of the Director of the Office of Institutional Integrity include the following:
Serving as second-in-command to the Chief Institutional Integrity Officer and HIPAA Privacy in the event of the Chief's unavailability;
Assisting the Chief Institutional Integrity Officer in directing and monitoring the various operations of the Office of Institutional Integrity;
Assisting the Chief Institutional Integrity Officer in the management and oversight of staff in the Office of Institutional Integrity:
Initiating and implementing programs to expand the services and reach of the Office of Institutional Integrity;
Serving as the Chair or Co-Chair of the Brody School of Medicine, School of Dental Medicine and College of Allied Health Compliance committees.
Providing health care regulatory advice to leadership, senior management, and others as necessary related to ongoing and new business ventures and legal/organizational arrangements;
Maintaining a high level of knowledge regarding current health care compliance and regulatory issues and advising the Chief Institutional Integrity Officer, the Office of University Counsel, leadership, senior management, and others;
Providing timely and ongoing review of existing policies to ensure policies conform and comply with legal and regulatory requirements;
Collaborating with and maintaining a close working relationship with East Carolina Internal Audit Office and ECU Legal Affairs.
Collaborating with and maintaining an appropriate working relationship with Vidant Health Systems Office of Risk Management and Vidant Health Compliance.
Developing new policies and amendment of current policies to maintain conformity and compliance with new regulatory developments;
Ensuring the Division of Health Sciences achieves and maintains compliance with new regulatory requirements;
Interacting with outside organizations and government offices, as necessary, to clarify and comply with regulatory requirements.
Assist in developing the Annual Compliance Workplan;
Assist in developing the Annual HIPAA Privacy and Security Workplan;
Conducting and supervising internal investigations related to compliance concerns;
Conducting investigations of HIPAA privacy complaints;
Development of educational programs related to health care regulatory requirements, compliance, and HIPAA privacy;
Assist in maintenance of ECU professional service agreement and Business Associate agreement databases;
Ensuring performance of compliance assessments and reviews;
Assist with preparing and presentation of briefings/reports for the ECU Board of Trustees and when appropriate other leadership bodies within the Division of Health Sciences;
Collaborating with various staff and faculty to ensure Security Rule requirements are followed in the ECU Health Care Components;
Responsibility for analyzing and determining the University's internal HIPAA security risks and implement policies and procedures to prevent, detect, and correct security violations.
Working with appropriate individuals and offices inside and outside the institution to respond to and remediate HIPAA Privacy and Security incidents and breaches.
Reading, interpreting, and understanding key regulatory requirements and applying them to information security, privacy, and compliance requirements. This includes HIPAA privacy and security regulations, as well as, other relevant national standards and guidance;
Collaborating with others to develop and implement policies and procedures to ensure members of the workforce have access to information appropriate for their individual positions and/or jobs;
Assist in contingency planning in coordination with ITCS and the ECU Chief Information Security Officer to implement policies and procedures for responding to an emergency or an unusual occurrence (i.e., a fire, vandalism, or natural disaster) that damages equipment or systems containing ePHI. This includes incident investigations, response, and remedies;
Evaluating and ensuring periodic risk monitoring of adherence to HIPAA security policies and procedures, documentation of the results of those monitoring activities, and implementation of appropriate improvements in policies and procedures;
Assist in establishing and implementing device and media controls for ECU that address the receipt, use and removal of hardware and electronic media containing ePHI;
Coordinating with ITCS on standards for transmission security that requires mechanisms to protect ePHI transmitted electronically from one organization to another;
Coordinating with ITCS to prevent ePHI from being altered or destroyed in an unauthorized manner;
Collaborating, supporting, and providing guidance to various departmental/clinical representatives (HIPAA system administrators); and
Any additional duties as assigned.
Special Instructions To Application:
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)
An appropriate graduate degree (e.g. M.A., M.S., MPH, MHA, J.D., Ph.D.) is required.
Five years of experience in a clinical or healthcare administration setting; and substantial compliance or regulatory experience, or its equivalent, in a medical school, hospital or complex physician group setting, are required.
Qualifying degrees must be received from appropriately accredited institutions.
Full time or Part time: Full Time
Position Location (city): Greenville
Position Number: 000938
Organizational Unit Overview:
The Division of Health Sciences is committed to maintaining the highest standards of ethics, honesty, and integrity.
The Office of Institutional Integrity supports and enhances the Division of Health Sciences as it conducts operations in an ethical and law-abiding manner.
The Office of Institutional Integrity is committed to encouraging a culture of compliance among the Division's employees, faculty, students, and agents by functioning within applicable state and federal healthcare laws and regulations.
To be a national model for student success, public service and regional transformation, East Carolina University uses innovative learning strategies and delivery methods to maximize access; prepares students with the knowledge, skills and values to succeed in a global, multicultural society; develops tomorrow's leaders to serve and inspire positive change; discovers new knowledge and innovations to support a thriving future for eastern North Carolina and beyond; transforms health care, promotes wellness, and reduces health disparities; and improves qualify of life through cultural enrichment, academics, the arts, and athletics. We accomplish our mission through education, research, creative activities, and service while being good stewards of the resources entrusted to us. East Carolina University delivers on the promise of opportunity. We open doors. We improve lives. We transform the present, and we discover the future. In these ways and more, we serve our community, our state, our nation and our world as together we reach toward our greatest potential. Tomorrow starts here.