Health Care Compliance Analyst

Health Care Compliance Analyst

Join the Department of Health Services as a Health Care Compliance Analyst and help support the mission and values of the department!

Starting salary up to $75.12/hour ($156,784/year) and a competitive total compensation package!

The person selected for this position must currently possess, or obtain within the probationary period of this position (generally one year), a valid California license, registration, or certification in a health discipline, and maintain the license, registration, or certification while in the job classification. Please see below for a list of currently approved licensures, registrations, and certifications.

About the Position

The Health Care Compliance Analyst is an integral position within the Department of Health Services that directly supports the promotion of a culture of honest and responsible behavior in compliance with department protocols, policies, and professional standards. This position works closely with management in all of the Health Services divisions to ensure compliance with applicable laws, regulations, policies, grants, and contracts.

Other responsibilities include:

• Researching, interpreting, and implementing federal, state, and local health regulations and mandates
• Conducting compliance audits and investigations to follow up on alleged misconduct
• Supporting the administration of the compliance and ethics program, and participating as a member of the Compliance Program Governance Oversight Committee
• Tracking reported compliance issues and inquiries and assisting with compliance program risk assessments
• Developing health care compliance policies, procedures, and standards of conduct, and providing related training and education to staff

As the ideal candidate for this position, you will have exceptional analytical skills and possess many of the following:

• Experience related to health care compliance and an understanding of the seven nationally recognized elements of an effective compliance program
• A Health Care Compliance or a Healthcare Privacy Compliance certificate is strongly desired
• The ability to research, interpret, and implement federal, state, and local regulatory mandates across the department divisions
• A demonstration of integrity, sound judgment, and trustworthiness
• Excellent communication skills, including advanced skills in writing and public speaking
• Skilled in managing and prioritizing multiple ongoing projects simultaneously and meeting related deadlines
• A proven ability to be adaptable and self-directed, while researching and analyzing issues

Please note that this position is expected to be on-site, in-office work for the first 6 to 12 months. After this initial period, the department will evaluate hybrid telework eligibility and may consider it based on assignment needs, department operations, and performance.

The licensure requirement may be met by one of the following current, valid registrations, certifications, or licensures:

• Certified in Health Care Compliance (CHC)
• Certified in Healthcare Privacy Compliance (CHPC)
• Board Certified in Health Care Management
• Certified Professional in Healthcare Quality (CPHQ)
• Alcohol and Other Drugs Registration/Certification
• Doctor of Medicine
• Doctor of Psychology
• Associate Social Worker/Licensed Clinical Social Worker
• Associate Professional Clinical Counselor/Licensed Professional Clinical Counselor
• Associate Marriage and Family Therapist/Licensed Marriage and Family Therapist
• Licensed Vocational Nurse
• Nurse Practitioner
• Physician Assistant
• Psychiatric Technician
• Registered Nurse
• Registered Health Information Administrator (through the American Health Information Management Association)
• Other valid California license, registration, or certification in an approved health discipline

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:

• Hybrid Telework - A schedule that meets the needs of our staff, department operations, and the communities we serve may be available depending on the assignment
• Salary Advancement - 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
• Paid Time Off - Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
• Staff Development/Wellness - Annual benefit allowances of up to $2,000 and ongoing education/training opportunities
• County Paid Health Premium Contributions - 100% premium contribution for the majority of employee-only and employee + family health plan options
• Post-Retirement Health Reimbursement Arrangement - County contributions to help fund post-retirement health insurance/benefits
• Retirement - A pension fully integrated with Social Security
• Incentive Retirement Savings Plan (IRSP) and 457 Voluntary Deferred Compensation - 3% of salary County contribution to a 401(a), in addition to the County matching up to 1% of base salary in 401(a), based upon employee contribution
• Paid Parental Leave - May be eligible for up to 8 weeks (320 hours) after 12 months of County employment
• Additional Benefits - Excellent dental, vision, disability, life insurance, employee assistance program, professional development, and more
• Student Loan Debt Relief - County employees may be eligible for Public Service Loan Forgiveness through the U.S. Department of Education

This recruitment is being conducted to fill a Health Care Compliance Analyst position in the Department of Health Services. 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. The Civil Service title for this position is Patient Care Analyst.

Application submissions require the Supplemental Questionnaire to be completed.

Minimum Qualifications

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. 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. License: Must currently possess, or obtain within the probationary period, a valid California license as a Registered Nurse or license, registration, or certification in another related health discipline, and maintain the license, registration, or certification while in the job classification. Possession of a valid driver's license at the appropriate level including special endorsements, as required by the State of California, may be required depending upon assignment to perform the essential job functions of the position. The position advertised on this announcement does not require possession of a valid California Driver's License.

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