Assistant Director Investigations, Compliance

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

The Assistant Director for Investigations plays a pivotal role in overseeing, coordinating, and advancing investigations related to healthcare regulatory compliance, fraud, abuse, and misconduct within UT Southwestern and Southwestern Health Resources. This role ensures thorough and timely investigations while upholding the highest ethical standards and maintaining compliance with internal policies, as well as local, state, and federal regulations. The Assistant Director also assists the Office of Compliance and Internal Audit leadership team in developing and facilitating appropriate educational programming and outreach activities to all students and employees on campus.

BENEFITS

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!
  

EXPERIENCE AND EDUCATION

Required

• Education

Bachelor's Degree in Business Administration, Healthcare Administration, Criminal Justice, or a related field

• Experience

5 years years of experience in the healthcare regulatory space and

2 years managerial experience

Preferred

• Education

Master's Degree in a related field or Juris Doctor (JD)

• Experience

Background in investigations and training obtained with a state or federal agency strongly preferred

JOB DUTIES

• Oversee investigations pertaining to alleged misconduct, fraud, policy violations, and compliance breaches.
• Develop and implement protocols to ensure a systematic approach to investigations that adhere to regulatory requirements and organizational policies.
• Continuously monitor investigation processes and results, ensuring efficiency and accuracy in findings.
• Manage a team of investigators and analysts, providing guidance, training, and performance feedback.
• Collaborate closely with the Chief Compliance Officer/Chief Audit Executive on resource allocation, staffing, and budget management.
• Foster a culture of integrity, professionalism, and accountability within the investigations team.
• Partner with departments such as Legal, Compliance, Human Resources, Security, and Clinical Operations to gather information and facilitate comprehensive investigations.
• Communicate investigative outcomes and recommendations to executive leadership, governing bodies, and regulatory agencies as appropriate.
• Engage with external stakeholders (e.g., law enforcement, legal counsel) as needed, ensuring clear and concise reporting.
• Stay abreast of changing healthcare regulations, privacy laws (e.g., HIPAA), and standards impacting investigations.
• Integrate best practices in investigative techniques, documentation, and evidence management.
• Develops and maintains a comprehensive case-management system and accurately logs all reports and concerns of non-compliance and related complaints and ensures meticulous record-keeping and data integrity to maintain confidentiality and compliance throughout the investigation process.
• Assist in the creation and revision of investigation-related policies, standard operating procedures (SOPs), and training materials.
• Identify trends, root causes, and opportunities for improvement based on investigation findings.
• Propose and implement enhancements to the investigative process to reduce risk and improve outcomes.
• Conduct risk assessments in potential or ongoing investigations, identifying potential gaps in controls or practices.
• Provide recommendations for mitigating risk and preventing recurrence of compliance or policy violations.
• Track and monitor corrective action plans to ensure resolution of identified issues.
• Directs identified compliance or internal audit issues to the appropriate existing channels for evaluation and resolution; operational areas to improve the compliance of processes, coordinates and prepares reports and assessments.
• Performs other duties as assigned.

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.