Healthcare Compliance Analyst (Internal Monitoring and Delegation Oversight)

Western Health Advantage•Sacramento, CA

2d•$70,304 - $82,000•Hybrid

About The Position

Western Health Advantage is seeking a Compliance Analyst to support the organization’s compliance and ethics program through monitoring, auditing, and oversight activities. In this role, you will work closely with internal teams and external partners to ensure compliance processes are effective, standardized, and aligned with regulatory requirements. You will play a key role in identifying risks, supporting corrective actions, and strengthening compliance practices across the organization.

Requirements

Bachelor’s degree in Compliance, Healthcare Administration, Legal/Regulatory Affairs, or a related field
3 years of experience in healthcare compliance, regulatory, auditing, quality, or related roles
Familiarity with regulatory frameworks such as NCQA, Knox-Keene, HIPAA, Covered California, or similar
Strong analytical, organizational, and problem-solving skills
Ability to manage multiple priorities and collaborate across teams
Proficiency with business tools such as email, spreadsheets, and Smartsheet

Nice To Haves

Willingness to obtain professional certification such as Certified Healthcare Compliance (CHC)

Responsibilities

Help ensure the Plan complies with applicable federal and state laws, contract requirements, accreditation standards, and internal policies and procedures.
Support the Compliance and Ethics department to establish and conduct monitoring, auditing, and oversight functions.
Create reports, provide education and training, establish policies and procedures, and other Compliance Program documents.
Assist in developing and maintaining compliance policies, procedures, and program documentation
Coordinate data collection, analysis, and reporting for audits and regulatory requirements
Track and report on corrective actions resulting from internal and external audits
Support Mental Health Parity analysis, responses, and regulatory filings
Serve as a liaison for internal departments on delegation oversight activities
Identify and escalate potential compliance concerns and risks
Support compliance communications, events, and special projects
Maintain confidentiality and ensure compliance with HIPAA and other privacy requirements
Organize and maintain compliance-related documentation and records
Perform other duties and special projects as assigned