Health Care Compliance Analyst
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Section About the role:
About the role
The Health Care Compliance Analyst is an integral position within the Department of Health Services that directly supports the promotion of a culture of honest and responsible behavior in compliance with department protocols, policies, and professional standards. This position works closely with management in all of the Health Services divisions to ensure compliance with applicable laws, regulations, policies, grants, and contracts.
Responsibilities:Responsibilities
- Researching, interpreting, and implementing federal, state, and local health regulations and mandates
- Conducting compliance audits and investigations to follow up on alleged misconduct
- Supporting the administration of the compliance and ethics program, and participating as a member of the Compliance Program Governance Oversight Committee
- Tracking reported compliance issues and inquiries and assisting with compliance program risk assessments
- Developing health care compliance policies, procedures, and standards of conduct, and providing related training and education to staff
Requirements
The selected candidate must currently possess, or obtain within the probationary period (generally one year), a valid California license, registration, or certification in a health discipline, and maintain it while employed.
Accepted credentials include:
- Certified in Health Care Compliance (CHC)
- Certified in Healthcare Privacy Compliance (CHPC)
- Board Certified in Health Care Management
- Certified Professional in Healthcare Quality (CPHQ)
- Alcohol and Other Drugs Registration/Certification
- Doctor of Medicine
- Doctor of Psychology
- Associate Social Worker/Licensed Clinical Social Worker
- Associate Professional Clinical Counselor/Licensed Professional Clinical Counselor
- Associate Marriage and Family Therapist/Licensed Marriage and Family Therapist
- Licensed Vocational Nurse
- Nurse Practitioner
- Physician Assistant
- Psychiatric Technician
- Registered Nurse
- Registered Health Information Administrator (through the American Health Information Management Association)
- Other valid California license, registration, or certification in an approved health discipline
Qualifications
Experience: Any combination of training and experience that provides the knowledge and abilities listed. Typically, three years of experience in an acute care hospital or other equally responsible health profession experience, including some training or experience in performing patient's rights advocacy, utilization review, quality assurance, infection control, or experience analyzing health care or nursing systems and programs.
Education: Academic work directly relating to the knowledge and abilities listed. Normally, graduation from an accredited school nursing, academic course work in health care, hospital or nursing administration, medical records, psychology counseling or social work, or a related field.
License: Must currently possess, or obtain within the probationary period, a valid California license as a Registered Nurse or license, registration, or certification in another related health discipline, and maintain the license, registration, or certification while in the job classification.
Driver’s License: Possession of a valid driver’s license at the appropriate level, including special endorsements as required by the State of California, may be required depending on assignment to perform essential job functions.
Skills: Knowledge, Skills, And Abilities list. We'll format asSkills
- Thorough knowledge of the relative importance of problems affecting the respective areas of responsibility.
- Considerable knowledge of various methods of assessing professional care and services; applicable laws, rules, regulations and regulatory agency requirements related to assigned area; medical terminology, hospital routines, and policies and procedures.
- Working knowledge of the various specialty areas within the Resource Management Program.
- Knowledge of appropriate financial reporting and statistical design, methodology, presentation and interpretation; principles and practices of consultation and training.
- Ability to recognize resource management and patient care problems or potential problems early; utilize various methods of assessing utilization and quality of services and care provided.
- Ability to communicate effectively with persons of varying backgrounds.
- Ability to influence physicians, staff, other managers into accepting changes required by the resource management program.
- Ability to advocate on behalf of patients and clients using behavior that provides the best opportunity for a reasonable resolution of complaints.
- Ability to establish and maintain cooperative working relationships with other hospital and Mental Health Department personnel and others interested in quality patient care.
- Ability to exercise responsibility, initiative, ingenuity, independent analysis and judgment in solving medical, administrative and management problems.
- Ability to write comprehensive reports.
- Ability to analyze problems accurately and take effective course of action.
- Ability to give and follow oral and written directions of a technical and professional nature in detail.
- Ability to interact with patients and professional staff sympathetically and tactfully in difficult and sensitive situations.
- Ability to establish and maintain cooperative working relationships with other hospital personnel.
- Ability to interpret medical charts, records and reports.
Benefits
- Hybrid Telework – schedule that meets staff needs, department operations, and community needs may be available depending on assignment.
- Salary Advancement – increase after 1,040 hours (6 months full‑time) for good performance; eligibility for annual increase thereafter until top of salary range.
- Paid Time Off – competitive vacation and sick leave accruals, 12 paid holidays, plus 8 floating holiday hours per year.
- Staff Development/Wellness – annual benefit allowances up to $2,000 and ongoing education/training opportunities.
- County Paid Health Premium Contributions – 100% premium contribution for majority of employee‑only and employee+family health plan options.
- Post‑Retirement Health Reimbursement Arrangement – County contributions to help fund post‑retirement health insurance/benefits.
- Retirement – pension fully integrated with Social Security.
- Incentive Retirement Savings Plan (IRSP) and 457 Voluntary Deferred Comp