Supervisor’s Title: Dean, Medical School; University Chief Compliance Officer
The Compliance Officer (CO) for the University of Minnesota Medical School is responsible for the development, implementation and on-going management of an effective Compliance and Ethics Program to fulfill the Medical School’s needs and to meet regulatory requirements. The CO reports directly to the Dean of the Medical School. The CO for the Medical School functions as an integral member of the Medical School’s leadership team and is the compliance contact for regulators and agencies that relate to the Medical School. In addition to assuring the Medical School’s compliance with University Policies and Procedures, this position will have responsibility for accreditation and regulatory activities. This position will coordinate with various internal and external leaders and organizations in order to ensure the successful implementation and operation of the Medical School’s Compliance program.
This position is an integral member of the Medical School leadership team. As such, the position will influence work done across the Medical School, as well as work carried out in collaboration with the Office of Institutional Compliance in support of Medical School’s participation in University-wide compliance initiatives.
The Medical School’s Compliance Program is in a start-up phase. This position will build and implement the Medical School’s Compliance Program, requiring an executive level leader. A key part of the design and build of the compliance program will be to assess sustained staffing needs. This position will not start with any direct reports.
Compliance Program Leadership (40%):
Plans, develops, monitors, revises and implements the Medical School’s compliance program including the development, implementation, and monitoring of compliance with relevant policies and procedures; administering compliance activities and supervising compliance staff; promoting the University’s Code of Conduct; promoting values based decision making; investigating and resolving reports of suspected non-compliance and unethical behavior.
Reports on compliance performance to Medical School leadership and committees and serves as chairperson of the Medical School’s Compliance Committee.
Oversees adequate record maintenance and ensures processes are in place to document compliance efforts.
Acts as a resource for compliance related information and support and serves as a catalyst for the achievement of best practices in all compliance subject matter areas.
Promotes a culture of compliance and ethical behavior.
Advisor to Medical School Leadership (30%):
Provides strategic guidance and representation to the Medical School leadership on changing governmental requirements, including complying with Title IX, the Family Educational Rights and Privacy Act, reporting obligations under the Clery Act, and other regulations impacting the Medical School.
Advises the Dean, associate deans, faculty, and staff on the improvement and attainment of compliance related objectives in discrete subject matter areas (e.g., research compliance, data privacy and security, Title IX, Clery Act, employment/HR related compliance obligations, EEOC, ADA, False Claims Act, conflicts of interest, third party management, etc.).
Assists affected departments in scheduling and responding to federal agency reviews and investigations, with guidance from the Office of Institutional Compliance, Office of General Counsel, and senior leadership as appropriate.
Oversight of accreditation and regulatory activities and coordinate with various leaders and organizations internal and external to the Medical School
Partner to Office of Institutional Compliance (20%):
Develops and promotes compliance education and awareness programs in concert with the Office of Institutional Compliance.
Conducts compliance monitoring and assessment in collaboration with the Office of Institutional Compliance, Medical School associate deans, faculty, and staff.
Conducts assessment of targeted compliance issues, investigations, or potential problems and coordinates internal compliance investigations and routine audits.
Coordinate and collaborate extensively with the Office of Institutional Compliance, as well as the compliance officers who are responsible for the hospitals where Medical School students will be working.
Partner to Medical School Human Resources (10%):
Partners with Human Resources to investigate high-stakes investigations as needed, and in partnership with the Office of Institutional Compliance.
Partners and advises on human resources actions around considerations of organizational, compliance with federal and state requirements, and internal University policy
Key Working Relationships:
Dean, Medical School
University Chief Compliance Officer
Vice Dean & Associate Deans
Chief Financial Officer, Medical School
Human Resources Director, Medical School
Applicable accreditation bodies
Compliance and Integrity:
Models and reinforces ethical behavior in self and others in accordance with the University’s Code of Conduct, adheres to organizational policies and guidelines, supports compliance initiatives, maintains confidences, admits mistakes, conducts business with honesty, shows consistency in words and actions, and follows through on commitments. Holds self and others accountable for communication, implementation, enforcement, monitoring, and oversight of compliance policies and practices.
Required Education, Experience and Skills:
Bachelor’s degree in related field (Health Care, Business, etc.).
10+ years of escalating managerial work experience in a highly diversified organization.
10+ years of escalating responsibility and work experience in the compliance field or related field (internal audit, law, etc.); to include progressive management roles in large, complex organizations with successive levels of accountability and results.
Significant compliance orientation, coupled with business process expertise and acumen.
Demonstrated knowledge of current thinking and practice around the business of compliance.
Significant knowledge of pertinent regulatory requirements and compliance program elements.
Demonstrated ability to collaborate, communicate and work effectively with senior leadership and a broad cross section of management/leadership from a broad range of functional areas.
Demonstrated ability to influence and motivate interdisciplinary teams and individuals who do not report directly to the CO.
Demonstrated ability to learn new subject matter areas. Confidence and ability to succeed in new situations and scenarios.
Demonstrated expertise in organizational development, project management, and strategic planning.
Superior communications skills (both oral and written).
Demonstrated high ethics and integrity.
Masters or law degree preferred.
Certified in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar preferred.
Experience working with a Board of Directors.
Internal Number: 341860
About University of Minnesota, Twin Cities
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.