Risk and Compliance Analyst I - Camino Media

Clinica Sierra Vista•Bakersfield, CA

About The Position

The Risk and Compliance Analyst l is responsible for assisting in the development, implementation, and management of Clinica Sierra Vista’s (CSV) Compliance Program and Risk Management Plan. Ensures that all regulations are being followed and produces detailed reports to the supervisor based on Risk and Compliance Analyst l observations. Provides safety and privacy support for compliance initiatives and policies. Take part in developing processes necessary for CSV and external agencies to remain compliant with any new regulatory requirements. The Risk and Compliance Analyst l will work closely with the Manager-Compliance, Risk and Compliance Analyst lI, and other departments to create new forms and other relevant documents as needed. The Risk and Compliance Analyst l will conduct audits at clinics and internally from a risk perspective. These audits will be used to mitigate any potential risks to patients or the organization.

Requirements

Knowledge of medi-cal, public assistance programs,
Knowledge of principles of health care planning and administration,
Knowledge of health care regulatory policies,
Knowledge of State and Federal legislative processes,
Knowledge of research, analysis and reporting methods,
Knowledge of and ability to utilize conflict resolution and problem-solving techniques,
Knowledge of and proficiency in the use of Microsoft Word, Excel and PowerPoint software is required.
Ability to analyze and interpret legal and contractual language.
Ability to research, write, and develop policies and procedures.
Ability to develop and organize electronic and paper filing systems.
Ability to define issues, interpret data and evaluate options.
Ability to create forms and letters, compile reports and various information as required; and,
Ability to effectively, clearly and independently document, summarize and resolve complex issues.
Reasonable and predictable in person attendance.
Education: Bachelor’s degree in Business or Public Administration, Public Policy, Health Care Planning, or a related field required.
Experience: 1 year of Compliance/Risk experience within the health care industry required; ambulatory care setting preferred. Knowledge of compliance, quality improvement practices and audit techniques, or an equivalent combination of education and experience which would provide the required knowledge, the skills and abilities may be qualifying in lieu of.

Nice To Haves

Clinical experience as a Medical Assistant or Licensed Vocational Nurse preferred.

Responsibilities

Conducts regular on-going review of Compliance Plan and Risk Management Plan in addition to all relevant state and federal statutes and regulations
Review policies and procedures to satisfy relevant state, federal, and/or industry standards and requirements and coordinate efforts with appropriate departmental staff to ensure implementation
Assists in the implementation of audit processes to ensure compliance with federal and state statutes and regulations and program guidance for the CSV Compliance Program.
Responds to external requests for information
Performs other duties as assigned.