What are the responsibilities and job description for the Compliance Analyst position at Adventist Health?
Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are comprised of a 173-bed hospital and many outpatient clinics with primary and specialty care services. Hanford residents are proud of their city’s historic charm and family-friendly atmosphere. Within an hour’s travel time, Yosemite, Sequoia and Kings Canyon National Parks can be enjoyed.
Job Summary:
Analyzes events and transactions for regulatory compliance. Evaluates, monitors, and communicates the corporate compliance program to the organization, its members and affiliates. Assists with partnering with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or corporate entities. Provides analytic support to assigned functional areas.
Job Requirements:
Education and Work Experience:
- Associate’s/Technical Degree or equivalent combination of education/related experience: Required
- Bachelor's Degree: Preferred
- Three years' technical experience: Preferred
Essential Functions:
- Works with contract specialists, corporate compliance departmental staff, legal counsel and paralegals to determine if facilities are processing physician contracts according to policy. Assists with reviews of hospital physician contract lists to ensure contracts are renewed properly and that no gaps occur with respect to the physician contract and services rendered.
- Assists with reviews of facility accounts payable transactions for physicians. Assists with maintaining the internal corporate compliance reporting process to ensure organization employees and agents can report ethics and compliance concerns without fear of retaliation.
- Collects, reviews, and prepares physician contract information. Participates in evaluating internal control systems designed to detect significant instances or patterns of illegal or unethical conduct by employees or agents. Provides technical support and consultation to executive management to help determine appropriate responses to potential compliance violations.
- Assists with maintaining the Hotline reporting database, participates in the Hotline investigations, and helps ensure issues are resolved in an efficient and timely manner. Summarizes compliance reports for presentation to the organization's legal board and/or its appointed subcommittee. Supports the Compliance Team with a variety of projects as needed. Creates and utilizes reports to track compliance.
- Monitors legislation and regulations involving compliance-related issues, such as physician contracting, patient billing and coding, etc. Participates in the communication of training material and programs to convey the organization's Code of Conduct to all employees, refresh employees’ knowledge of the Code of Conduct, and address areas of compliance risk concerning specific employee populations.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
