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A healthcare company is looking for a Compliance Administrator to provide professional support in the planning, implementation, and administration of the Authority’s Compliance and Ethics Program. The Compliance Administrator is responsible for conducting a variety of compliance-related activities, including training, auditing, risk assessments, and investigations to help ensure adherence to applicable laws, regulations, contractual requirements, and internal policies. Working under the direction of the Chief Compliance and Privacy Officer, the Compliance Administrator serves as a key program resource, liaison, and advocate across the organization. This position requires strong judgment, initiative, discretion, and the ability to work independently while collaborating with stakeholders at all levels.
Job Responsibility
Support the Chief Compliance and Privacy Officer in the planning, development, implementation, and ongoing administration of the Authority’s Compliance and Ethics Program
Assist leaders across the organization with the development, implementation, review, updating, monitoring, and archiving of compliance-related policies and procedures
Maintain current knowledge of applicable federal, state, county, and Authority laws, regulations, guidelines, and policies, and help communicate updates to staff as needed
Provide consultation, guidance, and training on compliance-related matters, including HIPAA, privacy and confidentiality requirements, patient rights, informed consent, complaints, and grievance processes
Coordinate and help develop compliance-related policies, protocols, processes, forms, training materials, and supporting documentation
Receive, document, log, and investigate complaints, grievances, and requests for provider changes
Assist with privacy complaint reviews, privacy investigations, and responses to privacy breaches
Respond to internal compliance hotline calls, make appropriate referrals, and track call activity and trends to support reporting and performance improvement efforts
Assist in conducting compliance assessments, audits, investigations, and risk reviews to identify areas of concern and ensure compliance with legal, regulatory, and contractual requirements
Prepare findings, reports, and recommendations for corrective and preventive action, and escalate issues to the Chief Compliance and Privacy Officer as appropriate
Support Medi-Cal Site Certifications and Medicare Revalidations
Ensure adherence to all Authority and mandated safety rules, regulations, and protocols
Perform other related duties as assigned
Requirements
Bachelor’s degree in public administration, healthcare administration, business administration, legal studies, compliance, or a related field preferred
Relevant professional experience in compliance, privacy, healthcare administration, regulatory affairs, investigations, auditing, or a related area is typically required
Experience supporting a compliance, privacy, or ethics program in a healthcare, public sector, or regulated environment
Experience conducting investigations, audits, or risk assessments
Experience developing policies, procedures, and training materials
Familiarity with Medi-Cal and Medicare regulatory processes
Knowledge of applicable federal and state laws and regulations, including HIPAA, HITECH, FERPA, substance use confidentiality requirements, privacy laws, and informed consent laws