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Senior Compliance Analyst - Clinical Research Billing
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- 176741 Requisition #
The University of Texas MD Anderson Cancer Center in Houston is one of the world’s most respected centers focused on cancer patient care, research, education and prevention. It was named the nation’s No. 1 hospital for cancer care in U.S. News & World Report’s 2025–2026 rankings. It is one of the nation’s original three comprehensive cancer centers designated by the National Cancer Institute.
The Senior Compliance Analyst provides professional expertise conducting and directing compliance reviews and analyses to ensure compliance with federal and state regulations, institutional policies and contractual obligations.
Investigations/Special Reviews
Independently conducts focused audits and investigations into information sensitive areas of suspected billing & reimbursement non-compliance. Works collaboratively with other departments to obtain required documents and actively researches background information to develop a thorough understanding of the area being audited.
Independently conducts critical prospective and/or retrospective inpatient and outpatient professional and/or technical documentation audits of the institution’s clinical research billing, identify problems, risk factors, and risk areas regarding compliance with applicable federal and state statutes, regulations, and guidelines set forth by regulatory agencies and third party payors, as well as The University of Texas System and the institution’s rules, guidelines, policies, procedures, and compliance plans.
Assists with identifying billing & reimbursement compliance issues to be audited. Prepares audit notifications and makes arrangements for conducting on-site audits as appropriate.
Effectively identifies and quantifies billing compliance deficiencies and makes recommendations for corrective action plans.
Recommends changes to operational systems/practices in order to maintain compliance.
Effectively evaluates audits and investigation results with appropriate consideration of relevance and accuracy. Formulates conclusions and recommendations based on accumulated audit evidence.
Prepares timely, thorough, clear, and concise written reports of compliance audits and investigations.
Arranges and participates in Audit Findings Discussion Conferences with the billing professional and/or departments/teams to present audit and investigation findings and make recommendations for corrective action. Communicates effectively with physicians and other qualified healthcare professionals, administrative staff, and other workforce members to ensure a successful audit.
Assesses audit responses provided by operational areas to determine appropriateness of the response. Makes recommendations for additional follow-up audits, if required.
Maintains appropriate and complete audit files and auditing databases. Secures, indexes, and archives all documents for storage. Extracts information from databases to prepare various compliance reports.
Compliance Representative/Education, Training and Outreach
Works in close collaboration with the Education & Outreach Manager, and other members of the Billing & Reimbursement Compliance section or Institutional Compliance, to develop and provide education and training on Billing & Reimbursement Compliance Requirements to the MD Anderson workforce, either as part of a corrective and preventive action plan, specialized education or routine education or training activities of the Billing & Reimbursement Compliance program.
Works in close collaboration with other Institutional Compliance staff and/or other management teams throughout the institution to ensure program-wide compliance efforts are in alignment with federal, state, and institutional requirements for billing clinical research professional services and/or technical services.
Serves on Institutional Compliance Committees, Sub-Committees, and Work Groups as assigned.
General Compliance Program Activities
Maintains working knowledge of new rules, regulations, and revisions, as set forth by CMS, the Medicare Administrative Contractor, and other entities regarding billing & reimbursement compliance. Communicates regulatory/policy updates to assist departments in maintaining acceptable billing & reimbursement compliance practices.
Participates in assignments that: (a.) facilitate improvement in billing operational areas; (b.) enhance infrastructure of the billing & reimbursement compliance program; or (c.) improve the quality of services provided by the Institutional Compliance.
Performs special projects and/or other duties as assigned.
EDUCATION
Required: Bachelor's degree.
Preferred: Master's degree.
EXPERIENCE
Required: Six years of experience in a compliance related field or in research, information technology, cybersecurity, healthcare administration and/or general business as an analyst, auditor, or fraud investigator. With preferred degree, four years of experience required. May substitute required degree with additional years of related experience on a one-to-one basis.
Preferred: Strong understanding of clinical research, as well as knowledge of regulatory guidance and research compliance standards. Experience collaborating with Clinical Research Finance and clinical research billing is preferred but not required. Familiarity with, or the ability to research, compliance standards set by CMS or OIG is essential. Should be independent, adaptable to change, and capable of making sound judgment calls and decisions. Additionally, comfortable educating and providing training to various stakeholders, ensuring clarity and compliance with policies and procedures.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
