Compliance Improvement Specialist

Vista Community Clinic•Vista, CA

2d•$26 - $30

About The Position

At Vista Community Clinic (VCC) , we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees. ✨ For eligible employees, benefits include: ✅ Competitive compensation & benefits ✅ Medical, dental, vision ✅ Company-paid life insurance ✅ Flexible spending accounts ✅ 403(b) retirement plan Why VCC? 🏅 Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S. Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT. A robust training & development culture to help you grow and advance your career. A workplace built on respect, collaboration and passion for care.

Requirements

Bachelor’s Degree in healthcare administration or related health field
Minimum three years’ experience working in an outpatient physician practice / ambulatory setting
Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes
Understanding of HIPAA privacy and security and HiTech requirements and compliance/audit related issues
Strong problem solving skills, ability to manage project tasks and timelines; strong analytical ability
Experience/familiarity with computers, business e-mail, communication systems and internet search capabilities and proficient in Microsoft Office products, specifically Word, Excel, Outlook, Access, PowerPoint, Publisher
Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs

Nice To Haves

Strong understanding of the NextGen Electronic Health Record (EHR) and Practice Management (EPM) system
Ability to generate reports from NextGen
Minimum three years’ healthcare information systems experience applying analytical methodologies, with specific experience utilizing electronic health information system and/or Information interfaces

Responsibilities

Responsible for auditing and monitoring VCC’s compliance improvement initiatives consisting of, but not limited to the following: program management, risk management, outcomes measurement and aggregation, data management and initiation of new compliance processes based on data analysis
Conduct new clinician orientation; conduct document audits of new clinicians
Assist CCQO, CMO and COO with providing compliance and quality measurement reporting and recommendations
Research program requirements and define outcome and measureable results
Prepare clinics for site visits and audits including identification of medical records to be used in audits
Conduct facility reviews to ensure all clinic sites follow licensing and program requirements
Assist in the completion of applications for various programs: CHDP, EWC, FPACT, CPCP, etc.; update applications as needed
Monitor annual reviews of policies and procedures to ensure they are current
Review regulatory and contractual requirements and accreditation standards related to compliance management to ensure compliance between standards and internal operations
Assist CCQO with the design and implementation of compliance and compliance improvement programs
Maintain systems to establish databases, interpret results, validate compliance improvement indicators, and identify actual or potential problems and opportunities to improve patient care
Develop and compile reports of findings; provide written and verbal reports to staff on outcomes of audits identifying areas in need of improvement
Participate in the development of corrective action plans for data collection, interpretation and/or problem resolution/opportunities to improve care; monitor follow-up of corrective action plan
Conduct clinician training to ensure quality health care as measured by DHCS, HRSA, NCQA and other regulatory, licensing, or credentialing organizations
Conduct training for non-clinician staff as needed\
Maintain a system of record keeping relative to pertinent quality and educational information
Maintain effective human relations by communicating, interacting and problem solving with administration, medical and nursing personnel while functioning within appropriate reporting lines