The Senior Investigator (Privacy and Compliance Healthcare Professional 4) is responsible for overseeing, implementing, and performing all Privacy and Compliance investigations charged by the Chief Compliance and/or Privacy Officers in fulfillment of UC Davis Health obligations under University policy to fully and fairly review allegations of improper activities. This positon will manage highly complex investigations impacting UC Davis Health that involve multiple regulatory components related to privacy breaches, fraud and abuse, drug diversion, improper business activities, billing irregularities, and health care compliance. This position will also singularly manage and oversee UC Davis Health's Surveillance Program. In addition, the incumbent will assist other health system and campus authorities in completing investigations and providing training and consultative support to other campus investigators. Assignments are of substantial complexity, often focusing on issues that involve multiple policy areas.REQUIRED- Bachelor's Degree in Public Health, Public Policy, Law, Health Care or related field and/or equivalent education/training/experience.- Experience performing investigations. - Proven project management skills and experience managing multiple projects in a highly regulatory environment.- Advanced knowledge of Federal / State privacy regulations- Advanced knowledge of health care law and state and federal billing regulations. - Demonstrated skill to focus on issues with multiple policy or legal areas that require individual review of the complaint to identify issues, determine jurisdiction and applicable policies, laws, regulations or other guiding sources.- Current knowledge of HIPAA regulations and state privacy laws. - In-depth knowledge of research and reporting to comply with privacy regulations.- Strong communication skills (written and oral).PREFERRED- Juris Doctorate or Masters in Public Health, Privacy or a related field.- Certification in Health Care Compliance (CHC) or Certification in Healthcare Privacy Certification (CHPC).- Experience in a healthcare environment.SPECIAL REQUIREMENT - THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT.
Internal Number: 052827
About University of California Davis Medical Center
At the end of 2015, we launched a comprehensive and inclusive process to tap into the broad, diverse knowledge of our entire UC Davis Health community to stimulate new and unique ideas for our next strategic plan.Throughout 2016, hundreds of members of our UC Davis Health family, as well as external friends and partners, took part in conversations and provided valuable input into charting a long-term course for our future that will continue the momentum underway to solidify our position as a top-tier health care organization.With your valuable input and talents, I am excited to launch our six new strategic plan goals. Over the next few years, together we will:Lead Person-Centered Care in the best way, at the best time, in the best place, and with the best teamReimagine Education by cultivating diverse, transdisciplinary, life-long learners who will lead transformation in health care to advance well-being and equity for allAccelerate Innovative Research to improve lives and reduce the burden of disease through the discovery, implementation and dissemination of new knowledgeImprove Population Health through the use of big data and precision healthTransform Our Culture by engaging eve...ryone with compassion and inclusion, by inspiring innovative ideas, and by empowering each otherPromote Sustainability through shared goals, balanced priorities and investments in our workforce and in our communityAt a time when our industry is experiencing some of the most formidable changes ever, these are bold aspirations that will anchor us and provide us with clarity of purpose and a path forward. I am fully confident that we will achieve great success knowing we have a solid plan and areas of focus to guide us.I thank everyone who participated in the planning process for their great input and their dedication to our future success.