Healthcare Compliance Analyst



Healthcare Compliance Analyst

Salary

$115,772.55 - $140,713.63 Annually

Location

Santa Rosa, CA

Job Type

Full-Time

Job Number

23/01-2420-OC

Department

Department of Health Services (DHS)

Opening Date

01/13/2023

Closing Date

4/4/2023 6:35 PM Pacific

Bargaining Unit

50

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:

An Application & Supplemental Questionnaire Appraisal Examination (weight 100%). Each application and supplemental questionnaire will be thoroughly evaluated for satisfaction of minimum qualifications and relevance of educational coursework, training, experience, knowledge, and abilities that relate to this position. Candidates possessing the most appropriate job-related qualifications will be placed on an employment list and referred to the department for selection interviews. 

ADDITIONAL INFORMATION

A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.

Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer is contingent will be outlined in the conditional job letter. You may also review the Job Classification Screening Schedule to determine the requirements for this position.

HOW TO APPLY

Applications are accepted on-line at: www.yourpath2sonomacounty.org. Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted.

The County of Sonoma values diversity and is dedicated to creating a workplace environment that provides individuals with a sense of belonging. We are committed to having a diverse workforce that is representative of the communities we serve. The County is proud to be an Equal Opportunity Employer where all aspects of employment are based on merit, competence, performance, and business need.
 
HR Analyst: DP
HR Technician: RR

IMPORTANT NOTE: Benefits described herein do not apply to Extra Help positions.

COUNTY OF SONOMA BENEFITS: MANAGEMENT*
 
These are some of the excellent benefits the County offers:
 
Paid Time Off: Competitive vacation accrual and sick leave accruals; additional management leave annually; 12 paid holidays, and an additional 8 floating holiday hours per year; and may be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment.
 
Health Plan: Choice of five health plans (a PPO, EPO, HMO, and two deductible HMOs) with a County paid premium contribution.
 
Retirement: Fully integrated with Social Security. For more information regarding eligibility, retirement contributions, and reciprocity with prior public service, please visit https://scretire.org/active-/-deferred/when-you-are-hired.
 
IRS 457 Plan: Pre-tax employee contribution up to the IRS annual maximum.
 
Retiree Medical: County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits.
 
Plus excellent dental, vision, disability, life insurance, professional development, and more.

For answers to specific questions regarding the employment process and more details about benefits or retirement, please contact Human Resources at (707) 565-2331. Additional details about benefit and compensation packages can be found in the MOUs located at https://sonomacounty.ca.gov/administrative-support-and-fiscal-services/human-resources/divisions-and-units/employee-relations/labor-agreements-and-salary-resolution. For specific information about health and welfare benefits including plan options, coverage, and premium amounts go to https://sonomacounty.ca.gov/administrative-support-and-fiscal-services/human-resources or, contact the Human Resources' Risk Management-Benefits Office at benefits@sonoma-county.org or (707) 565-2900.

*IMPORTANT NOTES: Benefits described herein do not represent a contract and may be changed without notice.

01
Please indicate if you would also be interested in future part-time or extra-help (temporary, intermittent, or seasonal employment) positions should they become available. Check all that apply.
  • I would also like to be considered for future part-time positions
  • I would also like to be considered for future extra-help positions
  • I am only interested in full-time positions
02
This job position requires possession of a valid California license as a Registered Nurse or a license, registration, or certification in another related health discipline. Please select any of the following that qualifies you for this position.
  • Alcohol and Other Drug (AOD) Registration/Certification
  • Board Certified in Healthcare Management (FACHE)
  • Certified in Health Care Compliance (CHC)
  • Certified in Healthcare Privacy Compliance (CHPC)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Doctor of Medicine
  • Doctor of Psychology
  • Associate Clinical 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
  • I don't possess any of these qualifications.
03
Please list your licensure/registration/certification number, issuance date, and date of expiration.
04
Please list your college-level education in nursing, health care, hospital or nursing administration, medical records, psychology, counseling, social work, or a related field, including relevant course titles and degrees earned. Also include any compliance-related certifications you possess.
05
Please describe your related experience that meets the minimum qualifications for this job classification. Include your job title(s), employer(s), a description of your duties, and what dates you were employed (mm/yr to mm/yr).
06
Please describe your experience improving healthcare operations by researching, analyzing, evaluating, and applying data, complex rules, or regulations. Detail one improvement project and include the issue, how you researched the issue, recommendations presented, and the outcome.
07
Please describe your experience conducting compliance audits in a health care setting. Include your role in developing, implementing, or monitoring the implementation of any corrective action plans for the resolution of problematic issues.
08
How did you first learn about this opportunity?
  • California State Association of Counties (CSAC)
  • CalJobs
  • Careers in Government
  • College or University
  • Craigslist
  • DiversityJobs
  • Employee of Sonoma County
  • Facebook
  • Glassdoor
  • Google Jobs
  • GovernmentJobs.com
  • Hispanic Chamber of Commerce of Sonoma County
  • Indeed
  • Instagram
  • Job Fair
  • La Voz
  • Latino Service Providers
  • LinkedIn
  • Los Cien
  • Minority Organization or Group
  • Municipal Management Association of Northern California
  • National Association of Counties (NACo)
  • Press Democrat
  • sonoma-county.org/www.yourpath2sonomacounty.org
  • Sonoma County Human Resources Office
  • Sonoma County Job Line
  • Start Here!
  • Twitter
  • Veterans Services Office
  • Women's Organization or Group
  • Workplace Diversity
  • Other Internet Site
  • Other Publication

Required Question

Agency
County of Sonoma (CA)
Address
575 Administration Drive, Suite 116B

Santa Rosa, California, 95403
Phone
(707) 565-2331