Quality Analyst

Dameron Hospital is a leading healthcare provider in Stockton, offering a comprehensive range of medical services to the community. As a not-for-profit, community-based hospital, we are dedicated to delivering high-quality, compassionate care. We are currently seeking a skilled and experienced Quality Analyst/Compliance Coordinator to support hospital compliance, data analysis, and regulatory functions.

Coordinates the implementation and maintenance of departmental information systems and serves as a system resource specialist in support of the operational goals of the department. Designs, analyzes, documents, implements, tests, and manages existing programs, reports, and dictionaries. Coordinates upgrade enhancements to existing programs. Additionally, ensures hospital compliance with healthcare regulations through auditing, training, policy development, and risk assessment.

Education:

• Associate’s/Technical Degree or equivalent combination of education/related experience: Required
• Bachelor's Degree: Preferred

Experience:

• Three years' technical experience: Preferred
• Electronic Medical Records experience: Preferred
• Data analysis and database experience: Preferred

Special Skills:

• Ability to organize work effectively and manage multiple priorities.
• Use sound judgment and treat sensitive matters in a confidential manner.
• Proficiency in Microsoft Word, Excel (including pivot tables), and PowerPoint.
• Ability to communicate effectively and courteously, both verbally and in writing, with personnel of diverse backgrounds.
• Ability to work in a fast-paced, high-pressure environment.
• Ability to multi-task, prioritize, and problem-solve using appropriate resources.
• Knowledge of Cath/IR procedures and medical terminology: Preferred
• Must be service-oriented and able to handle complaints and sensitive concerns in a courteous and confidential manner.

• Coordinate and maintain hospital data systems to support operational goals.
• Develop, implement, and enhance departmental programs, reports, and dictionaries.
• Perform system analysis, documentation, and testing to ensure effective performance.
• Assist with upgrades and improvements to existing programs.
• Analyze hospital data to support decision-making and process improvements.

• Ensure the hospital adheres to all federal, state, and local healthcare regulations, including accreditation standards.
• Perform regular internal audits to assess compliance with policies, regulations, and best practices, identifying potential risks of non-compliance.
• Assist in the development, implementation, and maintenance of hospital policies and procedures to ensure regulatory compliance.
• Develop and conduct training sessions for hospital staff on compliance standards, regulatory requirements, and ethical practices.
• Identify, evaluate, and mitigate compliance risks by working with various hospital departments to address potential issues.
• Prepare and submit required reports to regulatory bodies, and respond to inquiries or audits from agencies such as CMS, OSHA, and state health departments.
• Assist in preparing for external regulatory inspections and audits, ensuring all required documentation and procedures are in place.
• Maintain records of compliance activities, incidents, audits, and corrective actions taken, ensuring documentation is up-to-date and accessible.
• Work closely with hospital leadership and other departments to ensure ongoing compliance and address any emerging regulatory challenges.
• Keep up-to-date with changes in healthcare laws, regulations, and industry best practices to ensure the hospital remains compliant.
• Develop and implement corrective action plans in response to identified compliance violations or areas of improvement.
• Safeguard sensitive patient and hospital data in compliance with HIPAA and other privacy regulations.
• Perform additional tasks and responsibilities as needed to support the hospital’s compliance program.

• Strong communication and organizational skills.
• Knowledge of nursing care principles, procedures, and practices.
• Basic understanding of intellectual and developmental disabilities.
• Commitment to dignity, respect, and opportunities for all individuals.
• Ability to work independently and manage multiple projects.
• Positive team player with a strong work ethic.
• Flexibility in working hours, including willingness to work extra hours as needed.
• Ability to read, write, and comprehend English effectively.
• Strong problem-solving skills in challenging situations.
• Willingness to take on additional duties as assigned.

• FTE: 1.0 (Full-Time)
• Schedule: 5x8s Day Shift