Health System Specialist (Compliance /Risk Manager)

This position is located at the Fort Yuma Service Unit, Winterhaven, California. The primary purpose of the position is to develop, implement and maintain a Compliance and Integrity program to prevent and detect violations and other misconduct, and to promote ethical conduct and a commitment to compliance with the law. The position provides support to health care management officials and/or coordinating health care operations. The incumbent reports to Deputy Quality Management Director.

• Coordinates and monitors activities of the Fort Yuma Service Unit's global healthcare compliance and integrity program. Provides guidance on incorporating compliance-related activities into the operations of the Service Unit.
• Assists with reviewing, updating, and formulating Service Unit policies and procedures regarding compliance-relate activities to ensure consistency among the various divisions. Is responsible for promoting extensive working relationships within and across the service unit lines and for planning, coordinating and implementing compliance functions.
• Assists with plans related to Quality Assurance (QA) and Risk Management (RM) programs. Performance of duties involves establishing criteria, assessing program effectiveness, investigating or analyzing a variety of conditions, problems, or questions, which affect a wide range of activities and stimulating responsive action toward the achievement of quality care.
• Conducts investigations of alleged violations of Healthcare law, standards of conduct, or any other system policies and procedures. Assists department supervisors to investigate problems, determine action, and prepare analysis and performance improvement plans.
• Collaborates with the compliance committee (or equivalent) to effectively incorporate the compliance program in the service unit committee organizational reporting structure. This requirement will also consist of appropriate information and reporting system so that the Service Unit Executive Committee may exercise timely and informed judgments concerning the Service Unit's compliance with the law.