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Compliance Consultant III - Healthcare Informatics Specialist

Location: Oakland, California;

Job ID : 3677013

Description

Provide consultative, analytical, and reporting support on various projects; conduct ad hoc analysis to include the evaluation of healthcare informatics focused on compliance with regulatory standards in operational, clinical, quality, and general business programs and processes. In adherence with the KP Compliance Framework, fosters comprehensive compliance management through a series of activities to comply with all applicable regulations and statutes. Thorough knowledge and familiarity with Healthcare Informatics and use of an Electronic Medical Record (EMR) for compliant documentation of patient care and services. Strong analytical and system skills will be necessary for success in this role.

Essential Functions:
- Manages, creates, and maintains client relationships.
- In adherence with the KP Compliance Framework, fosters comprehensive compliance management through a series of activities to comply with all applicable regulations and statutes. Activities include: Planning: identifying compliance accountabilities; identifying internal and external resources; developing Compliance, Work, and Audit plans; participating on and may establish compliance-related committees/work groups; and managing external agency relations. Implementing: identifying compliance requirements and conducting related analyses; creating or revising compliance standards, policies, and procedures; developing and/or conducting compliance and ethics training; monitoring compliance adherence; and reporting on compliance efforts and programs. Validating: reviewing compliance programs and content, including designing and conducting risk assessments and/or audits, and investigating instances of reported non-compliance.
- Researches and stays abreast of regulations and statutes. Determines impacts of implementation of new regulations and statutes and required notifications, changes, and training. Communicates required changes, develops tools to assess risks, and leverages existing workgroups/etc. to facilitate required changes.
Qualifications: Basic Qualifications:
Experience
- Minimum five (5) years of health care compliance, health care operations (quality, risk, etc.), audit, finance, project management, regulatory or public policy development, investigations, information security, or insurance/health plan governance experience.
Education
- Bachelor's or clinical degree, OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
Licenses, Certifications, Registrations
- N/A.
Additional Requirements:
- Thorough knowledge of health care compliance policies, practices and systems.
- Thorough knowledge of health care and related compliance issues.
- Complete understanding of compliance principles, theories, and concepts.
- Full knowledge of health care industry practices and standards.
- Ability to draft and revise documents including policies, standards, analyses, and reports.
- Project management skills.
- Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:
- N/A.


Primary Location:California,Oakland,Ordway One Kaiser Plaza

Scheduled Hours (1-40):40

Shift:Day

Working Days:Mon - Fri

Schedule:Full-time

Job Type:Standard

Employee Status:Regular

Employee Group:Salaried, Non-Union, Exempt

Job Level:Individual Contributor

Job:Compliance / Privacy / Regulatory

Public Department Name:National Compliance Ethics & Integrity Office

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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