Temporary Risk and Compliance Analyst I - Camino Media

Job Description

Job Description

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1. 

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”

We're looking for someone to join our team as a Risk and Compliance Analyst I who:

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.

Essential Functions:

Under the direction of the Manager-Compliance, this position:

1. Conducts regular on-going review of Compliance Plan and Risk Management Plan in addition to all relevant state and federal statutes and regulations with duties including but not limited to:

a. Working with the Chief Human Resources & Compliance Officer, Manager-Compliance, and Chief Administrative Officer to monitor changes in contractual provisions or regulations and communicate those changes to relevant staff within the organization.

b. Tracking regulatory updates from agencies such as The Joint Commission (TJC), HRSA, OSHA, FTCA, and revising annual compliance and risk employee trainings to ensure requirements are met.

c. Assisting the Compliance and Risk Analyst II in ensuring that all quarterly risk assessments are completed and findings have been communicated timely to allow for proper quality corrective actions to be completed. 

d. Assisting the Manager-Compliance in completing submissions to regulators.

e. Assisting the Manager-Compliance in distributing open patient safety reports to respective departments.

f. Facilitates the proper handling of all claims/suits brought against the organization.

g. Participates in the proper handling of all patient complaints and incident reports supporting the Grievance Analyst. 

2. 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 with duties including but not limited to:

a. Supporting consistency in policy content and format throughout the organization.

b. Coordinating efforts with appropriate departmental staff to verify that CSV practice matches plan policy; and,

c. Working with departments to revise policies and/or practices so that they are aligned and satisfy regulatory requirements.

3. 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.

a. Supporting the audit program, implementing, and conducting ongoing risk assessment processes at least quarterly.

b. Conducting audits, analyzing information, identifying deficiencies, developing reports and formulating recommendations for corrective action.

c. Conducting review of incident reports, analyzing information, identifying trends, develop reports and formulating recommendations for opportunities to mitigate risk.

d. Informing the Manager-Compliance regarding situations of non-compliance.

e. Working with department directors and managers to implement corrective action plans, such as enhancement of employee trainings, review and improvement of processes in situations of non-compliance, monitoring progress and ensure completeness.

f. Monitoring compliance risks and ensuring that the departmental staff responds timely.

4. Responds to external requests for information, with duties including but not limited to:

a. Responding to audit requests.

b. Responding to subpoena requests.

c. Insurance requests such as proof of certificate of insurance. 

d. Coordinating responses from appropriate department directors and managers.

e. Assisting in the preparation of Corrective Action Plans.

f. Assisting in the preparation of responses to additional information requests and patient comment letters, as needed.

5. Performs other duties as assigned. 

Other Experience and Skills Required:

a. Knowledge of medi-cal, public assistance programs, 

b. Knowledge of principles of health care planning and administration,

c. Knowledge of health care regulatory policies, 

d. Knowledge of State and Federal legislative processes, 

e. Knowledge of research, analysis and reporting methods, 

f. Knowledge of and ability to utilize conflict resolution and problem-solving techniques, 

g. Knowledge of and proficiency in the use of Microsoft Word, Excel and PowerPoint software is required.

h. Ability to analyze and interpret legal and contractual language.

i. Ability to research, write, and develop policies and procedures.

j. Ability to develop and organize electronic and paper filing systems.

k. Ability to define issues, interpret data and evaluate options.

l. Ability to create forms and letters, compile reports and various information as required; and,

m. Ability to effectively, clearly and independently document, summarize and resolve complex issues.

n. Reasonable and predictable in person attendance.

 

Qualifications:

1. Education:  Bachelor’s degree in Business or Public Administration, Public Policy, Health Care Planning, or a related field required. 

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

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!