Director of Quality Assurance and Risk Management

Department Summary

The Division of Student Life supports the university’s academic mission and strategic plan through comprehensive programs and services that promote and advance student learning and success while fostering an inclusive and vibrant campus community. Student Life includes four major portfolios, the Office of the Dean of Students, Experiential Learning & Engagement, Health & Wellbeing, and Division Administration. Key programs and departments within the division include but are not limited to University Health Services, Erb Memorial Union, Physical Education & Recreation, Parent and Family Programs, Major Student Events (Commencement, Homecoming, University Day), Fraternity and Sorority Life, Counseling, Health Promotion, Multicultural and Identity Based Support Services, Student Government Engagement & Success, Student Conduct and Community Standards, and Support for Students in Crisis and Students of Concern.

University Health Services (UHS) is a unit within the Division of Student Life and is a nationally accredited (AAAHC) outpatient clinic providing primary care to students at the University of Oregon. All staff are required to uphold the values of the UHS. This position works in support of the University Health Services mission and vision and is consistent with UO policy. Some aspects of this position may be completed in collaboration with other University departments.

Position Summary

The Director of Quality Assurance and Risk Management position is responsible for the HIPAA Compliance Program, Safety / Risk Management, and Quality Assurance at University Health Services. The Director of Quality Assurance and Risk Management is responsible for accreditation and ongoing compliance with the standards of the Accreditation Association for Ambulatory Health Care (AAAHC), as well as developing, implementing, and administering a comprehensive Compliance Program for UHS. This position works collaboratively with the Executive Team members and other staff to develop and maintain a culture of continuous quality improvement, working with every department within UHS and various offices on campus.

The Director of Quality Assurance and Risk Management manages complex, confidential risk and privacy issues, including concerns relating to quality of care, to resolution. This position ensures compliance with FERPA, HIPAA, and state and federal laws as applicable. This position conducts independent root cause analysis and in-depth evaluation, guiding program governance and executive leadership to successful mitigation or corrective action.

The Director of Quality Assurance and Risk Management also serves as the University HIPAA and Privacy Officer, serving as a resource on issues related to HIPAA at an institution-wide level and Chairing the UO HIPAA Privacy Team.

This position requires successful completion of a criminal background check and routine screening of Medicaid and Medicare Exclusion Lists. Employee loses eligibility for employment if on the List of Excluded Individuals and Entities (LEIE) and / or System of Award Management (SAM). In addition, employee must follow Compliance with UHS policies regarding tuberculosis screening, measles and mumps (MMR), seasonal flu, hepatitis B, and other immunization requirements.

Minimum Requirements

• Bachelor's degree in healthcare, business, or health-related field AND
• Five years’ health care experience with emphasis on compliance, privacy, health information management and patient services; OR
• An equivalent combination of compliance, privacy, health information management, and patient services experience and education.