Lead Compliance & Risk Analyst - Camino Media

Essential Functions

• Captures and monitors compliance and risk program activities.
• Identifies potential noncompliance or risk concerns, recommends corrective actions, and ensures approved recommendations are implemented and documented.
• Supports audits, investigations, education and training, incident reporting, risk mitigation, regulatory readiness, and corrective action follow-up.
• Provides guidance and day-to-day support to Compliance and Risk Analysts, serves as a resource to staff, and promotes a culture of ethics, safety, accountability, confidentiality, and continuous improvement across the organization.

Risk Management Duties and Responsibilities

• Assists with implementation, monitoring, and annual review of the Risk Management Plan.
• Analyzes risk trends, prepares reports, identifies opportunities for improvement, and recommends risk mitigation, quality improvement, and patient safety actions.
• Coordinates incident reporting, peer review activities, root cause analyses, claims-related documentation, and required regulatory reporting in collaboration with appropriate departments.
• Serves as a resource to CSV departments on healthcare compliance requirements, internal auditing procedures, documentation standards, privacy requirements, and related regulatory expectations, including HIPAA.

Compliance Duties & Responsibilities

• Assists the Manager - Compliance & Risk in coordinating and monitoring the Corporate Compliance Program, Compliance and Risk Committee activities, and Annual Compliance Work Plan.
• Supports internal compliance audits, reviews, and investigations, including follow-up on corrective actions.
• Aids in the development, revision, and implementation of compliance policies and procedures.
• Coordinates compliance education, training, and communication efforts for employees and leadership.
• Maintains compliance with applicable federal and state laws, regulations, and program requirements, including HIPAA, FTCA, OIG, BPHC/HRSA, OSHA, EMTALA, and related requirements.
• Aids in exclusion list checks, credentialing and privileging oversight, and Red Flag Rule compliance.
• Serves as a resource to departments on compliance-related questions and best practices, escalating issues as needed.

Qualifications:

• Bachelor’s degree in healthcare administration, business administration, public administration, law, compliance, risk management, or a related field required. Master’s degree preferred.
• Minimum of five years of progressively responsible experience in compliance, risk management, healthcare operations, auditing, investigations, or a regulated environment required; healthcare or FQHC experience preferred.
• Demonstrated ability to provide lead-level support, coordinate projects, train staff, monitor work plans, and communicate effectively in a healthcare delivery or regulated organization.
• Healthcare compliance, privacy, risk management, or related certification preferred, such as CHC, CHPC, CCEP, CPHRM, CPMSM, or equivalent certification.
• Able to multitask, prioritize, and manage time efficiently.
• Valid California driver’s license, auto insurance, and personal transportation.
• Must adhere to Clinica Sierra Vista’s employee health/immunization requirements or provide a valid exemption request for subsequent approval.