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