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Health Care Compliance Analyst

Company: County of Sonoma
Location: Santa Rosa
Posted on: December 3, 2019

Job Description:

The Health Care Compliance AnalystReporting to the Health--Care Compliance Officer, this position supports the--administration of a high quality, strategic health care compliance and ethics program. To this end, this position researches, interprets, and implements federal, state, and local regulatory mandates; and conducts audits to ensure compliance with health care laws, regulations, policies, and grant requirements.Additionally, this position is responsible for:

  • Conducting investigations of alleged violations; using clinical expertise to review, analyze, and solve potential or existing client care/compliance issues and conduct clinical compliance audits
  • Filing reports with regulatory bodies
  • Developing risk management strategies to avoid non-compliance
  • Designing policies and procedures to implement mental health Medi-Cal managed care regulations
  • Assisting the Compliance Officer--in--creating and--implementing a training and auditing plan to ensure compliance with new regulations.The ideal candidate is experienced in the aforementioned areas of healthcare compliance, and will possess:
    • Familiarity with mental health laws and regulations regarding Medicare and Medi-Cal
    • Experience using evaluation methodologies, including principles and practices related to continuous quality improvement, to improve healthcare operations
    • Experience developing and implementing training programs
    • The demonstrated ability to diplomatically respond to difficult and stressful situations, and work as part of a team
    • An eye for detail, and an aptitude for managing and prioritizing multiple responsibilities and projects
    • The ability to adapt to change, and communicate information and ideas clearly and conciselyThe Civil Service title for this classification is Patient Care Analyst. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. County employees who wish to be considered for future positions should consider applying to this recruitment.*Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice.--Additional information can found--in the--County of Sonoma Salary Resolution.
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Keywords: County of Sonoma, Santa Rosa , Health Care Compliance Analyst, Professions , Santa Rosa, California

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