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Responsibilities H-E-B is a leading innovator in technology, and recently we've been investing in our customers' digital experience. Our Digital Technology Partners collaborate to design, construct, implement, and support technology solutions, using the best available technologies to deliver modern engagement, reliability, and scalability to meet customer needs. As a Senior Governance, Risk, &amp; Compliance (GRC) Analyst, you'll assess and document H-E-B information asset compliance and risk posture. You'll also coach and mentor. Once you're eligible, you'll become an Owner in the company, so we're looking for commitment, hard work, and focus on quality and Customer service. 'Partner-owned' means our most important resources--People--drive the innovation, growth, and success that make H-E-B The Greatest Omnichannel Retailing Company. Do you have a: HEART FOR PEOPLE... strong interpersonal skills? HEAD FOR BUSINESS... ability to stay current on technology trends? PASSION FOR RESULTS... drive to develop / implement risk management? What is the work? Analytics / Information Technology / Auditing: - Contributes to development / continuous improvement of H-E-B security program goals and objectives. - Leads development / implementation of system-wide risk management function to ensure information security risks are identified / monitored. - Serves as SME and advisor to help manage risk at an acceptable level. - Collaborates to define information security policies, standards, and procedures, and to ensure controls are adequate, appropriate, and effective. - Establishes / maintains control objectives and procedures; maintains a risk register to identify / evaluate / prioritize / monitor risk findings to be reported to executive committee. - Performs internal risk assessments; validates effectiveness of security controls; recommends appropriate actions to mitigate risks; assesses / evaluates / makes recommendations related to adequacy of security controls. - Supports internal and external audit processes for related compliance requirements. - Supports vulnerability management efforts (e.g., remediation tracking, status reporting, enhancements) - Liaises with external auditors on regulatory assessments. - Stays current on developing regulatory concerns and changing IT and InfoSec trends. - Establishes / maintains robust reporting processes related to security topics. - May coach and mentor What is your background? - A related degree or comparable formal training, certification, or work experience - 5+ years of experience in information security, IT risk management, or IT compliance - Extensive experience in IT systems, security policies, standards, industry trends, and techniques - Experience with secure network protocols and communications encryption between networked hosts - Experience working with hybrid cloud infrastructures. - Experience defining / delivering systems support strategy (business analysis, requirements gathering) - Experience in policy development and designing information security controls. - One or more professional security certifications (e.g., CISSP, CISA, CISM, CRISC) Do you have what it takes to be an H-E-B Staff GRC Analyst? - Strong working knowledge of security issues for desktop, virtual, cloud services, and network infrastructures; of risk management methodologies, frameworks, principles (e.g., NIST, ISO 27001, ITIL, PCI, CCPA, SOC 2, etc. -Understanding of IT GRC / IRM platforms - Strong interpersonal and relationship-building skills - Strong communication and presentation skills - Strong problem-solving skills - Strong time management and prioritization skills; detail-oriented - Ability to quickly connect business requirements with GRC functional capabilities. - Ability to professionally handle confidential information. - Ability to meet deadlines and prioritize appropriately on concurrent projects. - Ability to analyze for potential future issues. - Ability to stay current on technology trends and quickly learn new technologies. - Ability to communicate and collaborate at all levels. - Ability to cope well with change and maintain composure under high-pressure situations. - Ability to articulate risk in terms of business impact and suggest reasonable strategies for mitigation. JDSECURITY

Senior GRC Analyst-Risk Management-San Antonio, TX

Job Description The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, developing policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities <ul> <li>Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department</li> <li>Performs audits of electronic and manual documentation, coding, and billing systems.</li> <li>Conducts close-out meetings with senior management of audited departments.</li> <li>Maintain current knowledge of changes in federal and state coding and billing regulations/guidelines and ensure staff is kept informed.</li> <li>Create adit schedules and manage workflows to adhere to the audit schedule.</li> <li>Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc.</li> <li>Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations.</li> <li>Performs charge audits by comparing itemized bill to medical record documentation to ensure appropriate charging</li> <li>Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems.</li> <li>Serve as a point of contact for reports of billing compliance concerns or potential issues. Respond timely and professionally.</li> <li>Monitor emerging changes and trends in the law, regulations and industry standards relating to compliance with and enforcement of applicable law and report impactful developments. Performs research, as needed.</li> <li>Collaborate broadly across business and operational areas within the university to analyze and assess business processes, data, and risk controls.</li> <li>Performs medical record audits of documentation, coding and billing for technical and professional services, 340-B Pharmacy, grant-funded research, risk adjustment, non-physician practitioner documentation (including "incident-to guidelines, teaching physician guidelines, dental, and other areas as identified. maintains communication with auditors and other relevant individuals/organizations until all identified discrepancies are resolved.</li> <li>Analyze data/reports to identify and address trends, issues, and risk areas</li> <li>Participates in the development of voluntary disclosures and repayments to federal and state agencies.</li> <li>Performs all other duties as assigned.</li></ul>Qualifications <ul> <li>Ability to review, analyze, and interpret regulatory requirements in a clear and concise manner.</li> <li>Demonstrates in-depth knowledge regarding professional/hospital coding, billing and revenue cycle, research grant funding, as well as Health Information Management (HIM) operations. Has a working knowledge of electronic auditing tools like MDAudit.</li> <li>Highly organized with ability to independently analyze, conduct research and present findings/relay information to other departments/teams on various compliance, documentation, coding and finance-related topics.</li> <li>Knowledge of treatment protocols, medical and surgical procedures and other healthcare practices.</li> <li>Knowledge of state and federal laws applicable to healthcare and compliance industry.</li> <li>Current Procedural Terminology (CPT) and Diagnosis Related Group (DRG) coding knowledge.</li> <li>Ability to self-direct and prioritize work.</li> <li>Detail oriented with excellent organizational skills and high degree of integrity and confidentiality.</li> <li>Advanced computer database and Microsoft Office software skills.</li> <li>Excellent customer service skills and strong willingness to take initiative.</li> <li>Strong verbal, written and interpersonal communication skills.</li> <li>Ability to present to small or large groups.</li> <li>Ability to commute to various UTHSA facility locations within a 50-mile radius of the University Campus.</li> <li>Established track record working with EPIC EHR system.</li></ul>EDUCATION: <ul> <li>Bachelor's degree required.</li> <li>Experience in lieu of a degree</li> <li>Graduate level degree or will have acquired professional experience working with an auditing/consulting company preferred</li></ul>EXPERIENCE: <ul> <li>Three (3) to five (5) years of experience working in a professional fee clinic and teaching hospital (inpatient and outpatient) settings.</li></ul>LICENSE AND CERTIFICATION: <ul> <li>None</li></ul>About Us Benefits Overview UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits. Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates. Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers. Time Off - A generous leave program offers multiple paid leave options: <ul> <li>Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.</li> <li>Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.</li> <li>Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.</li> <li>Holidays: 12 set paid holidays each year.</li> </ul>FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses. Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership. EEO Statement UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

Compliance Auditor, Billing and Coding

Job Description Perform routine investigations, compliance reviews and audits, conflict of interst and commitment disclosure assessments, and monitoring activities in the Institutional Compliance and Privacy Office. Ensures organizational compliance with federal and state regulations governing higher education, research, conflicts of interest, and healthcare. This position will report to the office Monday through Friday 8am-5pm. Responsibilities <ul><li>Provides oversight and develop proactive strategies to execute compliance related reviews, conflict of interest assessments, and investigations of suspected noncompliance. Maintains pertinent records and documentation, and assist through resolution. </li><li>Identifies data needed to review potential conflicts of interest and to ensure compliance with institutional policies and regulations. </li><li>Reviews and processes electronic disclosures of outside activities and finanical interests in accordance with institutional policies and procedures and state and federal regulations. </li><li>Conducts supplemental research of complex disclosures; assists with preparing case write-ups for Conflicts of Interest Committee review. </li><li>Coordinates implementation of internal corrective action plans; monitors progress and completion; coordinates interviews and document gathering. Conducts re-audits to verify if corrective actions were fully implemented and effective. </li><li>Manages the Compliance hotline, including processing and following up on hotline reports and conducting investigations of reported concerns. </li><li>Develops and prepares statistical reports and summations on compliance audit, review and investigation activities for submission to internal stakeholders. Track and regularly report compliance metrics. </li><li>Reads, understands, and maintains current knowledge of complex federal and state laws, regulations, rules, and bulletins applicable to Compliance and Conflict of Interest Program. </li><li>Maintains Compliance Program dashboards and assist with the evaluation of Compliance and Conflict of Interest Program effectiveness. </li><li>Performs all other duties as assigned</li></ul>Qualifications <ul><li>Knowledge of federal and state statutes, laws, rules, and regulations affecting healthcare compliance practices and conflicts of interest. </li><li>Skill in critical thinking and sound analytical reasoning. </li><li>Skill in analyzing issues, developing a resolution, and implementing the solution. </li><li>Skill in time management to multitask effectively and adapt to changing priorities and responsibilities under tight deadlines. </li><li>Skill in providing excellent customer service and willingness to take initiative. </li><li>Skill in verbal, written, and interpersonal communication. </li><li>Skill in utilizing Microsoft Office programs including, but not limited to Word, Excel, PowerPoint, Outlook, Access, and Power-BI or other widely available analytical, decision making toolsets. </li><li>Ability to work independently on recurring tasks with minimal supervision. </li></ul>EDUCATION: <ul><li>Bachelor's degree required.</li></ul>EXPERIENCE: <ul><li>Five (5) years prior healthcare compliance-related experience required. Experience in healthcare compliance-related audits/investigations preferred.</li></ul>LICENSE AND CERTIFICATION: <ul><li>CHC Certified in Healthcare Compliance - within one (1) year of hire.</li></ul>

3 Full time Jobs in San Antonio, TX, USA