Health Care Compliance Analyst

Job Description:

Health Care Compliance Analyst

Description

Position Information

Join our cohesive team as a Health Care Compliance Analyst and support the mission and values of the Department of Health Services!

Starting salary up to $72.93/hour ($152,213/year) and a competitive total compensation package!*
Please note that this position requires (at the time of application) a valid, California license, registration, or certification in an approved health discipline (please see the Minimum Qualifications section below for a list of approved licensure, certification, or registrations).

About the Position

As a Health Care Compliance Analyst with the Department of Health Services (DHS), you will support the administration of the DHS compliance and ethics program. This work will include:

• 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

As the ideal candidate to join the team, you will be motivated and committed to promoting a culture of honest and responsible behavior within the department, and possess many of the following:

• Knowledge of or experience with health care compliance and the nationally recognized seven elements of an effective compliance program (per the U.S. Department of Health and Human Services Office of Inspector General and the Federal Sentencing Guidelines)
• Excellent analytical skills to be able to research, interpret, and implement federal, state, and local regulatory mandates within the department
• Proven experience with data analytics
• Advanced level oral and written communication skills
• The ability to manage multiple projects independently, prioritizing them appropriately
• A high degree of integrity and trustworthiness
• Certification in Health Care Compliance (CHC) or Healthcare Privacy Compliance is desired, but not required

What We Offer

Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits* including:

• Hybrid Telework - A schedule that meets the needs of our staff, department operations, and the communities we serve may be available, depending on the assignment
• Salary Advancement - A salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range
• Paid Time Off - Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
• Staff Development/Wellness - Annual benefit allowances of up to $2,000 and ongoing education/training opportunities
• County Paid Health Premium Contributions - 100% premium contribution for the majority of employee-only and employee + family health plan options
• Post-Retirement Health Reimbursement Arrangement - County contributions to help fund post-retirement health insurance/benefits
• Retirement - A pension fully integrated with Social Security
• Incentive Retirement Savings Plan (IRSP) and 457 Voluntary Deferred Compensation - 3% of salary County contribution to a 401(a), in addition to the County matching up to 1% of base salary in 401(a), based upon employee contribution
• Paid Parental Leave - May be eligible for up to 8 weeks (320 hours) after 12 months of County employment
• Additional Benefits: Excellent dental, vision, disability, life insurance, employee assistance program, professional development, and more
• Student Loan Debt Relief - County employees may be eligible for Public Service Loan Forgiveness through the U.S. Department of Education

*Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can be found in the Salary Resolution (SalRes) and our Employee Benefits Directory .

This recruitment is being conducted to fill a Health Care Compliance Analyst position in the Department of Health Services. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment. The Civil Service title is Patient Care Analyst.

Application submissions require the Supplemental Questionnaire to be completed.

Minimum Qualifications

Experience: 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 could provide this opportunity.

Education: Academic work which directly relates to the knowledge and abilities listed. Normally, 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 will meet these required knowledge and abilities.

The position advertised on this announcement does require possession of a valid California Driver’s License.
License: Possession of a valid California license as a Registered Nurse or license, registration or certification in another related health discipline.

The licensure requirement may be met by one of the following current, valid registrations, certifications, or licensures:

• Alcohol and Other Drugs Registration/Certification
• Board Certified in Health Care Management (The certification is Fellow of the American College of Healthcare Executives (FACHE). More information is at: https://www.ache.org/fache )
• Certified Professional in Healthcare Quality (CPHQ) under the National Association for Healthcare Quality (More information is at: https://nahq.org/certification/certified-professional-healthcare-quality )
• Certified in Health Care Compliance (CHC)
• Certified in Healthcare Privacy Compliance (CHPC)
• Doctor of Medicine
• Doctor of Psychology
• Associate Social Worker/Licensed Clinical Social Worker
• Associate Professional Clinical Counselor/Licensed Professional Clinical Counselor
• Associate Marriage and Family Therapist/Licensed Marriage and Family Therapist
• Licensed Vocational Nurse
• Nurse Practitioner
• Physician Assistant
• Psychiatric Technician
• Registered Nurse
• Other valid, California license, registration, or certification in an approved health discipline

Knowledge, Skills, and Abilities

Thorough knowledge of: relative importance of problems effecting the respective
areas of responsibility.

Considerable knowledge of: various methods of assessing professional care and services; the applicable laws, rules, regulations and regulatory agency requirements related to assigned area of responsibility; medical terminology, hospital routines, and policies and procedures.

Working knowledge of: the various specialty areas within the Resource Management Program.

Knowledge of: appropriate financial reporting and statistical design, methodology, presentation and interpretation; the principles and practices of consultation and training.

Ability to: recognize resource management and patient care problems or potential problems in their early stages; utilize various methods of assessing the utilization and quality of services and care provided; communicate effectively with persons of varying backgrounds; influence physicians, staff, other managers into accepting changes required by the resource management program; advocate on behalf of patients and clients using behavior that will provide the best opportunity for a reasonable resolution of the complaint; establish and maintain cooperative working relationships with other hospital and Mental Health Department personnel and others who have an interest in quality patient care; exercise responsibility, initiative, ingenuity, independent analysis and judgment in solving medical, administrative and management problems; write comprehensive reports; analyze problems accurately and to take effective course of action; give and follow oral and written directions of a technical and professional nature in detail; interact with patients and professional staff sympathetically and tactfully in difficult and sensitive situations; establish and maintain cooperative working relationships with other hospital personnel; interpret medical charts, records and reports.

Selection Procedure & Some Helpful Tips When Applying

• Your application information and your responses to the supplemental questions are evaluated and taken into consideration throughout the entire selection process.
• You should list all employers and positions held within the last ten years in the work history section of your application. Be as thorough as possible when responding to the supplemental questions.
• You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, list out each position separately.
• Failure to follow these instructions may impact your competitiveness in this process or may result in disqualification.

Please visit Getting a Job with the County of Sonoma to review more detailed information about the hiring process, including the application process, examination steps, and department selection process.

Application submissions require the Supplemental Questionnaire be completed.

Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for a thorough assessment of your qualifications. Responses that state, "See Resume" or "See Application" may be considered insufficient and therefore may not be scored.

The selection procedure will consist of the following examination:

An Application and Supplemental Questionnaire Appraisal Examination (weight 100%) will be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass/not pass); and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Personally identifiable information (PII) is removed from the standard application fields and applicable attachments. This PII blind screening practice redacts a candidate’s personal information that could potentially influence or bias the scoring process. Personal information includes the applicant’s name, former last name, address, phone number, email, driver's license number, school name, education start and end dates, age, date of birth, gender, and race. This PII blind screening practice helps contribute to a fair and equitable examination process.

Each applicant will be evaluated based on the following criteria:

• Relevance of work history, related experience, and achieved level of education and/or training as described in the application and responses to the supplemental questions.

Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application and Supplemental Questionnaire Appraisal Examination which evaluates the education, training, experience, skills, knowledge, abilities, and other qualifications that you demonstrate in your application and/or response to the supplemental questionnaire. Please be aware that resumes and cover letters are not typically evaluated in the Application and Supplemental Questionnaire Appraisal Examination. Scores may be adjusted based on such factors as the number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates.

Additional Information

A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.

Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer is contingent will be outlined in the conditional job letter. You may also review the Job Classification Screening Schedule to determine the requirements for this position.

How to Apply

Applications are accepted online at www.yourpath2sonomacounty.org . Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be received by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted.

The County of Sonoma values diversity and is dedicated to creating a workplace environment that provides individuals with a sense of belonging. We are committed to having a diverse workforce that is representative of the communities we serve. The County is proud to be an Equal Opportunity Employer where all aspects of employment are based on merit, competence, performance, and business need.

HR Analyst: SZ

HR Technician: PPB

Important Note: Benefits described herein do not apply to Extra Help positions.

County of Sonoma Benefits: Management*

These are some of the excellent benefits the County offers:

Paid Time Off: Competitive vacation accrual and sick leave accruals; additional management leave annually; 12 paid holidays, and an additional 8 floating holiday hours per year; and may be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment.

Health Plan: Choose from nine health plans (three HMOs, three deductible HMOs, and three HSA-qualifying plans) with a generous County contribution to the premium (the contribution amount varies by bargaining unit). For more information, please see the appropriate MOU.

Retirement: Fully integrated with Social Security. For more information regarding eligibility, retirement contributions, and reciprocity with prior public service, please visit https://scretire.org/active-/-deferred/when-you-are-hired .

IRS 457 Plan: Pre-tax employee contribution up to the IRS annual maximum.

Retiree Medical: County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits.

Student Loan Debt Relief: County employees may be eligible for Public Service Loan Forgiveness through the U.S. Department of Education.

Plus, excellent dental, vision, disability, life insurance, professional development, and more.

For answers to specific questions regarding the employment process and more details about benefits or retirement, please contact Human Resources at (707) 565-2331. Additional details about benefit and compensation packages can be found in the MOUs located at Labor Agreements & Salary Resolution . For specific information about health and welfare benefits, including plan options, coverage, and premium amounts, go to Human Resources or contact the Human Resources' Risk Management-Benefits Office at benefits@sonomacounty.gov or (707) 565-2900.

*Important Notes: Benefits described herein do not represent a contract and may be changed without notice.

Closing Date/Time: 12/22/2025 11:59 PM Pacific

Salary:

$125,227.20 - $152,213.66 Annually