Compliance Consultant II, Data Analytics
Description: This position can be located in either Rancho Cucamonga, San Diego, Oakland or Burbank This role involves reviewing reports, investigating and resolving issues and creating ad hoc reports for project work. It would also include performing QA on data, collecting, tracking and submitting audit data and analyzing current reports against regulatory requirements and automating reporting and dissemination to ensure efficient, provision of timely and accurate management information.Researches, plans, implements, and monitors a broad portfolio of compliance systems and initiatives to enable organizational compliance with all applicable Federal, state, and local regulations/laws, as well as overseeing the protection of organizational assets. On an on-going basis, researches and interprets regulations and laws to establish compliance standards, and may develop and/or deliver training and communications/change management relative to new standards. Assesses organizational systems (both physical and process or data related) to determine gaps in compliance and determine opportunities for remediation. Advises the organization on all compliance matters. May investigate violations of compliance policy, laws, regulations, etc. or conduct on-going monitoring and reporting to ensure remediation. May be responsible for project management relative to new compliance initiatives, products, or annual processes.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, under the leadership of more senior team members, include: Planning: participating in the identification of compliance accountabilities; participating in the development of Compliance, Work, and Audit plans; participating on compliance-related committees/work groups. Implementing: participating in the identification of compliance requirements and conducting portions of related analyses; participating in the creation or revision of compliance standards, policies, and procedures; may monitor compliance adherence; prepares reports on compliance efforts and programs. Validating: reviewing compliance programs and content, including participating in risk assessments and/or audits, and participating in the investigation of instances of reported non-compliance. Basic Qualifications:Experience Minimum two (2) years of heath 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 Bachelors or clinical degree, OR four (4) years of experience in a directly related field. High School Diploma or General Education Development (GED) required.License, Certification, Registration N/A.Additional Requirements: Working knowledge of health care compliance policies, practices and systems. Working knowledge of health care and related compliance issues. Frequent use and/or application of basic compliance principles, theories, and concepts. General application 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,Rancho Cucamonga,Empire Corporate Plaza 10740 4th St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: External Affairs / Relations Department: National Compliane Office Health Plan Compliance Travel: Yes, 5 % of the Time **MEMBERS ONLY**SIGN UP NOW***. is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.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 and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.