The Senior Compliance Analyst supports the organization’s Compliance Program and serves as a key resource for compliance guidance. This role works independently to identify and address compliance risks, conduct investigations, perform compliance auditing and monitoring, analyze regulatory and industry developments, and collaborate with clinical and other leaders to promote a culture of integrity and accountability.
Responsibilities include monitoring federal and state healthcare requirements, designing and conducting compliance audits, investigating complaints and potential violations, maintaining policies and procedures, delivering compliance education and training, participating in risk assessments, preparing reports and dashboards, serving as a liaison across departments, and reviewing coding, billing, and documentation practices for compliance.
Qualifications
- Bachelor’s degree in healthcare administration, business, law, nursing, or a related field required
- Graduate degree such as JD, MHA, MBA, or equivalent preferred
- 3–5 years of progressive healthcare compliance experience
- Strong knowledge of HIPAA, OIG Compliance Program Guidance, and applicable legal and regulatory requirements
- Experience with compliance auditing, monitoring, investigation processes, and healthcare billing, coding, and documentation requirements preferred
- Excellent analytical, critical thinking, and problem-solving skills
- Strong written and verbal communication skills
- Ability to work independently and collaboratively
- High degree of personal integrity, discretion, and confidentiality
- Must be Certified in Health Care Compliance (CHC) or be able to obtain certification, or equivalent, within 24 months of hire
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago