Health Care Compliance Analyst
County Of Sonoma
Santa Rosa, CA
Full-time
Health Care Provider
Posted on July 12, 2019
Health Care Compliance Analyst $7,995 - $9,717 Monthly
The Health Care Compliance Analyst
Reporting to the Health Care Compliance Officer, this position helps administer 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; conducts audits to ensure compliance with health care laws, regulations, policies, and grant requirements; conducts investigations of alleged violations; uses clinical expertise to review, analyze, and solve potential or existing client care/compliance issues and conduct clinical compliance audits; files reports with regulatory bodies; develops risk management strategies to avoid non-compliance; assists the Compliance Officer in designing policies and procedures to implement mental health Medi-Cal managed care regulations; and assist 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
- Knowledge of evaluation methodologies, including principles and practices related to continuous quality improvement
- Knowledge of principles and techniques of 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, projects, and tasks
- The ability to adapt to change and communicate information and ideas clearly and concisely
EOE