Healthcare Compliance Analyst

Company: County of Sonoma
Location: Santa Rosa
Posted on: January 21, 2023

Job Description:

Position Information

Join the Department of Health Services as a Healthcare Compliance Analyst!

Starting salary up to $60.32/hour ($125,895/year), a cash allowance of $600/month, and a competitive total compensation package!

What We Offer

Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits including:

A hybrid telework schedule that meets the needs of our staff, department operations, and the communities we serve may be available depending on the assignment
Eligibility for a salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range
Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
County paid 100% premium contribution for the majority of employee-only and employee + family health plan options
An annual Staff Development/Wellness Benefit allowance of up to $1,700 and ongoing education/training opportunities
County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits
Retirement fully integrated with Social Security
May be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment
The Health Care Compliance Analyst

As part of the Compliance Unit team, the Healthcare Compliance Analyst works collaboratively with staff in Administration, Public Health, and Behavioral Health to support the administration of a health care compliance and ethics programs. The Compliance Unit team works as a cohesive, confidential unit, with regular team meetings to collaborate and support the mission and values of the Department of Health Services (DHS). The position is responsible for:

Researching, interpreting, and implementing federal, state, and local regulatory mandates
Working as the liaison to management to ensure regulatory compliance with applicable laws, regulations, policies, grants, and contracts
Preventing, detecting, and correcting inappropriate activity or misconduct, including health care fraud, waste, and abuse
Implementing effective lines of communication with DHS staff to report inappropriate activities or misconduct
Tracking and identifying trends in reported compliance issues and inquiries
Conducting investigations of alleged misconduct and reporting to outside entities when applicable
Conducting audits to ensure compliance with health care laws, regulations, policies, and grant requirements
Developing health care compliance policies, procedures, and Standards of Conduct
Creating and implementing regular health care compliance training and education
Assisting in regular Compliance Program risk assessments
Participating in the Compliance Program Governance oversite committee
Ensuring applicable contractors have a compliance program according to contracts and regulations
Helping to promote a culture of honest and responsible behavior

The ideal candidate will have experience in healthcare compliance, enjoy working in a team environment, have a high degree of integrity and trustworthiness, and possess:

Familiarity with mental health laws and regulations regarding Medicare and Medi-Cal
Superior analytical skills to research, interpret, and implement federal, state, and local regulatory mandates
Advanced writing, communication, collaboration, and problem-solving skills
The ability to deliver presentations and use public speaking skills
Experience using evaluation methodologies, including principles and practices related to continuous quality improvement
Experience developing and implementing training programs
The demonstrated ability to diplomatically respond to difficult and stressful situations
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 concisely
Certification in Health Care Compliance (CHC), Healthcare Privacy Compliance (CHPC), or another compliance certification
Proficiency in Microsoft Office
Experience with data analytics (highly desired).

Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can be found in the Salary Resolution (SalRes) and our Employee Benefits Directory.

The 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. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment.

APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.

Minimum Qualifications

Education: Academic work which directly relates 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 will meet these required knowledge and abilities.

Experience: Any combination of training and experience that will provide an opportunity to acquire the knowledge and abilities listed. Normally, 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 or quality assurance or infection control or experience analyzing health care or nursing systems and programs could provide this opportunity.

License: Possession of a valid California license as a Registered Nurse or license, registration or certification in another related health discipline.

Knowledge, Skills, and Abilities

Thorough knowledge of: relative importance of problems effecting the respective
areas of responsibility.

Considerable knowledge of: various methods of assessing professional care and services; the applicable laws, rules, regulations and regulatory agency requirements related to assigned area of responsibility; 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; the principles and practices of consultation and training.

Ability to: recognize resource management and patient care problems or potential problems in their early stages; utilize various methods of assessing the utilization and quality of services and care provided; communicate effectively with persons of varying backgrounds; influence physicians, staff, other managers into accepting changes required by the resource management program; advocate on behalf of patients and clients using behavior that will provide the best opportunity for a reasonable resolution of the complaint; establish and maintain cooperative working relationships with other hospital and Mental Health Department personnel and others who have an interest in quality patient care; exercise responsibility, initiative, ingenuity, independent analysis and judgment in solving medical, administrative and management problems; write comprehensive reports; analyze problems accurately and to take effective course of action; give and follow oral and written directions of a technical and professional nature in detail; interact with patients and professional staff sympathetically and tactfully in difficult and sensitive situations; establish and maintain cooperative working relationships with other hospital personnel; interpret medical charts, records and reports.

Selection Procedure & Some Helpful Tips When Applying

Your application information and your responses to the supplemental questions are evaluated and taken into consideration throughout the entire selection process.
You should list all employers and positions held within the last ten years in the work history section of your application. Be as thorough as possible when responding to the supplemental questions.
You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, list out each position separately.
Failure to follow these instructions may impact your competitiveness in this process or may result in disqualification.
Please visit Getting a Job with the County of Sonoma to review more detailed information about the hiring process, including the application process, examination steps, and department selection process.

APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.

Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for a thorough assessment of your qualifications. Responses that state, "See Resume" or "See Application" may be considered insufficient and therefore may not be scored.

The selection procedure will consist of the following examination:
. click apply for full job details

Keywords: County of Sonoma, Santa Rosa , Healthcare Compliance Analyst, Professions , Santa Rosa, California