Position DescriptionJoin our Compliance and Risk Management team and play a key role in supporting regulatory compliance, operational excellence, and risk mitigation across the organization. In this leadership position, you'll oversee compliance and risk management functions, develop goals and procedures, lead audit and policy initiatives, and collaborate with leaders, regulatory agencies, and external partners to support organizational success. You'll also mentor and supervise staff while helping drive a culture of accountability, continuous improvement, and high-quality service.
Major/Essential Functions- Develop and implement risk management strategies that support compliance, operational effectiveness, and organizational objectives.
- Lead the development, implementation, and monitoring of corrective action plans in response to audit findings, compliance concerns, and identified areas of risk.
- Ensure timely, thorough, and well-documented escalation of unresolved compliance, operational, or risk-related issues to the Senior Director of Compliance and Risk Management (CRM) and Operations leadership.
- Conduct ongoing audits and reviews of procedures, practices, and documentation to identify potential risks, compliance gaps, and opportunities for improvement.
- Coordinate and oversee annual audits, including release of information, refusal of treatment, and regional privacy audits, ensuring compliance with established requirements and timelines.
- Support American Correctional Association (ACA) accreditation activities and Prison Rape Elimination Act (PREA) audit requirements by facilitating audit preparation, documentation, and compliance efforts.
- Provide oversight of Texas Department of Criminal Justice (TDCJ) audits and related processes, including Operational Review Audits (ORA), Nursing Quality Assurance audits, Sick Call Request Verification audits, Compelled Medication audits, Mental Health Evaluation audits, and other regulatory reviews. This includes monitoring audit preparation activities, reviewing documentation for completeness and accuracy, coordinating with unit leadership, and evaluating corrective action plans and detailed written responses prior to submission.
- Manage the maintenance, review, and continuous improvement of departmental policies and Standard Operating Procedures (SOPs) to ensure regulatory compliance and operational consistency.
- Assist in the development, review, and revision of regional and unit policies and SOPs to support evolving operational and compliance requirements.
- Coordinate compliance, privacy, and safety training, educational initiatives, and investigations while serving as a regional resource for Compliance and Risk Management (CRM) programs and best practices.
- Perform other duties as assigned, including travel and overnight travel as required to support organizational and operational needs.
Preferred Qualifications- Master's degree in Healthcare Administration, Business Administration, Public Administration, Nursing, Criminal Justice, Public Health, or a related field.
- Five or more years of experience conducting audits, delivering compliance or operational training, and developing, managing, or maintaining departmental policies and Standard Operating Procedures (SOPs).
- Three or more years of experience applying healthcare compliance requirements, including HIPAA, OIG guidance, and applicable state healthcare regulations.
- Experience in a healthcare, correctional healthcare, compliance, risk management, or regulatory environment.
Pay StatementCompensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at https://app4.ttuhsc.edu/payplan.
Required QualificationsBachelor's degree plus four years of supervisory experience OR a combination of education and/or years of supervisory experience to equal a minimum of 8 years.
Jeanne Clery ActThe Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx.
