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NEOGOV · 1 month ago

Health Care Compliance Analyst

Santa Rosa, CA

Full-time

Hybrid

Mid Level

$125K/yr - $152K/yr

3+ years exp

NEOGOV is seeking a Health Care Compliance Analyst to support the Department of Health Services. The role involves administering the DHS compliance and ethics program, conducting audits, and ensuring adherence to health care regulations.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

Researching, interpreting, and implementing federal, state, and local regulatory mandates

Conducting audits to ensure compliance with health care laws, regulations, policies, grant requirements, and more

Tracking and following trends of reported compliance issues and inquiries or complaints within DHS

Working across all divisions within DHS (Administration, Public Health, Homelessness, and Behavioral Health), to ensure compliance with applicable laws, regulations, policies, grants, and contracts

Preventing, detecting, and correcting inappropriate activity or misconduct, including health care fraud, waste, or abuse

Creating and implementing consistent health care compliance training and education for DHS staff

Assisting in regular Compliance Program risk assessments

Qualification

Health Care ComplianceData AnalyticsRegulatory InterpretationCompliance AuditsHealth Care TrainingProject ManagementAnalytical SkillsCommunication SkillsIntegrityTeam CollaborationProblem Solving

Required

Possession of a valid California Driver's License

Possession of a valid California license as a Registered Nurse or license, registration or certification in another related health discipline

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

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