Senior Compliance Analyst - FT- Days - Corporate Compliance @ MV

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward.  We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care.  Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

Scheduled Bi-Weekly Hours

Work Shift

Job Description

The Senior Data Analyst for Compliance and Privacy plays a vital role in supporting the organization commitment to maintaining adherence to state and federal laws for Stark compliance and safeguarding patient privacy. This position is responsible for monitoring and validating all payments made to physicians or referring providers to comply with Stark and Anti-Kickback regulations or to identify any potential violations or contract risks.   This position is also responsible to monitor EPIC access to patient data to identify HIPAA or CDPH violations and ensure adherence to regulatory requirements to promote best practices across hospital and clinical operations. By leveraging privacy data analytics tools and collaborating with interdisciplinary teams, the analyst contributes to identifying potential privacy violations or risk while ensuring the integrity, security, and confidentiality of patient information. This role is integral to support both the organization Compliance and Privacy Programs and ensuring compliance with federal, state, and local regulations.

 Department specific responsibilities, Corporate Compliance:

• Validate all payments to physicians or referring providers are compliant with contracts terms prior to AP reimbursement. Analyze all physician contracts for operational or reimbursement issues.
• Ensure time reports submitted by Medical Directors for administrative services are compliant with contract terms and hospital policy.
• Maintain detailed dashboards and reporting tools regarding all physician payments.
• Audit the annual physician expense report for the fiscal year provided by AP and compile a summary for the Board.  Report any discrepancies identified to Manager and Legal.
• Conduct data analysis to identify trends, patterns, and anomalies related to Epic access by staff.
• Collaborate with clinical and administrative teams to audit and monitor compliance with internal policies and external regulations (e.g. HIPAA, CMIA, HITECH, CMS, Stark laws etc.).
• Analyze incidents of potential privacy breaches and support investigation to ensure proper documentation and privacy violation reporting.
• Collect, interpret, and analyze privacy-related data from various systems (e.g. EHR, billing systems, access logs).
• Ensure data quality, accuracy, and integrity in all compliance or privacy reports.
• Collaborate with legal, IT, and operations teams related to compliance and privacy matters.
• Leverage data analytics tools and systems (e.g. FairWarning, compliance software) to enhance monitoring and reporting capabilities.

Qualifications

• Bachelor’s degree in a related field (i.e., business, IT, health administration, health information management, data analytics, compliance)
• 2-5 years in a position having related responsibilities and duties
• Experience an understanding of Stark and HIPAA regulations, privacy program management, and compliance auditing in a clinical or hospital setting.
• Experience with privacy monitoring tools (e.g. FairWarning, Epic Hyperspace audit logs).
• Strong understanding of federal and state healthcare regulations, including Stark Anit-Kickback, HIPAA, CMIA, HITECH, and CMS guidelines.
• Excellent analytical and problem-solving skills, with the ability to interpret complex data sets and generate actionable insights with a strong attention to details.
• Exceptional organization and time management skills, with the ability to prioritize and manage multiple tasks effectively and attention to details.
• Proficient in data analysis tools  (e.g. Microsoft Office, Excel, Tableau  or similar)
• Ability to maintain strict confidentiality and handle sensitive information with discretion.
• Strong interpersonal skills and written communication skills to work effectively with multidisciplinary teams, including physicians, administrators, IT, medical staff, and legal departments. 

Ages of Patients Served

This position will serve all age groups.

Salary Range:

The Physical Requirements and Working Conditions of this job are available.  El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.