Senior Fraud Jobs in Riverside, CA (NOW HIRING)

Healthcare Talent is assisting our client in hiring a Senior Compliance Analyst (Privacy and FWA) to work under the direction of the Manager, Privacy. The Sr. Compliance Analyst primarily assists with the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and the healthcare organization's information privacy practices.

Our client has a unique business philosophy; their goal is to provide employees with a place to excel while creating something truly meaningful in their work. This philosophy has helped them grow into an award-winning company. Employees are provided with room for advancement, competitive compensation, and an excellent benefit package. 

Position Responsibilities

Identify, implement, and maintain the organization's privacy policies and procedures in coordination with management and administration.

Conduct internal and external oversight, risk assessments, and monitoring of the organization and its delegates' compliance with HIPAA rules.

Conduct or assist in internal compliance investigations, including privacy and fraud, waste and abuse matters.

Contribute to the development of privacy training materials; delivery of privacy training to multiple audiences.

Support the development and modification of tracking systems and databases for privacy related investigations.

Provide ongoing resources and advice to team and management relating to privacy issues.

Support the activities of the Compliance Committee, and implementation of the Compliance work plan

Conduct or assist in external audits and reviews, as well as preparations for regulatory audits.

Work with legal counsel and management, key departments, and committees to ensure the organization has and maintains appropriate privacy and confidentiality program.

Work to ensure privacy practices are consistently complied with across organization and throughout delegated entities.

Initiate, facilitate and promote activities to foster information privacy awareness within the organization and related entities.

Work with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization's policies and procedures and legal requirements.

Maintain current knowledge of applicable federal and state privacy laws and accreditation standards, and monitor advancements in information privacy technologies to ensure organizational adaptation and compliance.

Other projects and duties as assigned.

Required Skills

Evaluate and analyze regulations, interpret significance, recommend policies to comply and apply, and ensure compliance to applicable regulations.

Persuade and instill effective cooperation and compliance. Develop rapport and facilitate cooperation, as well as recommend remedial or corrective actions when necessary.

Coordinate effectively with various departments, develop and prepare coordinated responses and ensure uniformity and continuity.

Effectively utilize computer and appropriate software and interact with Information Services.

Required Experience

Experience & Education:

Bachelor's degree in Health Care, Health Care Administration, Public Health, Public Administration, Public Policy, or other related field or a combination of relevant work experience.

Certification in Healthcare Privacy Compliance (CHPC) preferred.

5+ years of experience in health care compliance, in either a provider or managed care setting preferred.

Knowledge of:

Knowledge and experience in information privacy laws, access, release of information, and release control technologies.

Working knowledge of compliance-related issues such as Fraud, Waste, and Abuse violations, Deficit Reduction Act requirements, and Anti-Kickback and Stark law provisions.

Principles and practices of health care systems and medical administration.

Principles of effective analysis and highly effective writing.

If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today!  

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