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Compliance Analyst

The Compliance Specialist position provides support to the Managed Care Compliance Department in development and implementation of departmental processes to ensure compliance with state, federal, and contractual requirements. This position will provide on-going support to management, conduct regulatory research, assist with health plan audits and internal audits. This position will be responsible for coordinating the annual review of all internal policies and procedures for the risk business for CA MSO and assist in creating internal training material to educate internal departments on any new or changing regulatory requirements.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Bachelor's Degree Healthcare, Business Administration, Accounting, Finance, Management Information Systems, or related fields of study. Or equivalent educ/experience.
  • Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
  • Compliance/privacy experience in a healthcare setting. 
  • 2 years Compliance experience in healthcare organization working with health plan or regulatory entity.
  • Extensive experience with Compliance Regulation and California State Law.

Preferred Qualifications:

  • 3 years Health Information Management, Accreditation Services, or Revenue Cycle Services.
  • 2 years Experience drafting appropriate compliance programs and plans.

Why Join Providence? 

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

 

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Average salary estimate

$70000 / YEARLY (est.)
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$60000K
$80000K

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What You Should Know About Compliance Analyst, Providence

Are you passionate about healthcare compliance? Providence Medical Foundation in Anaheim, California is on the lookout for a dedicated Compliance Analyst to join our Managed Care Compliance Department. As a Compliance Analyst, you'll play a pivotal role in developing and implementing processes ensuring adherence to state, federal, and contractual regulations. Your contributions will help shape our internal policies and procedures, allowing us to offer the best care to our patients. This role involves conducting regulatory research, supporting management with audits, and creating training materials for our internal teams about any new or changing regulations. At Providence, we believe every caregiver’s voice matters, and your insights will be valued as we cultivate a patient-focused, compassionate environment. If you have a bachelor’s degree in healthcare or related fields, along with two years of compliance experience in a healthcare organization, we'd love to chat with you. Join us and thrive in a culture that deeply cares for you, so you can focus on delivering heart-centered care for our communities!

Frequently Asked Questions (FAQs) for Compliance Analyst Role at Providence
What are the primary responsibilities of a Compliance Analyst at Providence Medical Foundation?

As a Compliance Analyst at Providence Medical Foundation, your primary responsibilities include supporting the Managed Care Compliance Department in ensuring adherence to all relevant state, federal, and contractual regulations. This entails conducting regulatory research, assisting in internal and health plan audits, and coordinating the annual review of internal policies. Additionally, you’ll be tasked with developing internal training materials to keep departments informed about compliance updates.

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What qualifications are necessary for the Compliance Analyst position at Providence?

To qualify for the Compliance Analyst position at Providence Medical Foundation, candidates must possess a bachelor’s degree in Healthcare, Business Administration, Accounting, Finance, Management Information Systems, or related fields. Furthermore, it is essential to have at least two years of compliance experience in a healthcare setting, particularly working with health plans or regulatory entities, along with knowledge of California State Law.

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What skills should a successful Compliance Analyst have at Providence Medical Foundation?

A successful Compliance Analyst at Providence Medical Foundation should possess strong analytical skills for regulatory research, excellent communication abilities to educate internal teams on compliance matters, and intimate knowledge of compliance regulations. Familiarity with compliance programs and the healthcare industry's best practices are also highly valued, along with the ability to work collaboratively in a team-oriented environment.

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Is prior healthcare compliance experience required to apply for the Compliance Analyst role at Providence?

Yes, prior healthcare compliance experience is required to apply for the Compliance Analyst role at Providence Medical Foundation. Candidates should have at least two years of experience working in healthcare compliance, particularly with health plans or regulatory bodies, ensuring they have a solid understanding of the compliance landscape in this sector.

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What can I expect in terms of workplace culture as a Compliance Analyst at Providence?

As a Compliance Analyst at Providence Medical Foundation, you can expect a collaborative and supportive workplace culture that prioritizes patient-focused care. At Providence, we value every caregiver’s input and strive to empower our staff. You'll work in an environment that fosters mutual respect, understanding, and a commitment to professional growth, ensuring you feel valued every day.

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Common Interview Questions for Compliance Analyst
Can you explain how you handle compliance audits?

When preparing for compliance audits, it’s essential to have a clear strategy. Begin by gathering relevant documentation, understanding the audit's scope, and coordinating with relevant teams. Share your experience and emphasize your proactive approach to identify potential issues before they arise.

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What steps do you take to stay updated on compliance regulations?

Staying updated on compliance regulations involves continuous education and resources. I actively follow industry news, participate in webinars, and engage in professional networks. Mentioning any certifications you hold or courses you are enrolled in can further strengthen your response.

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Describe a time when you identified a compliance risk. What did you do?

In this scenario, focus on your analytical skills and problem-solving abilities. Use the STAR method (Situation, Task, Action, Result) to describe the risk, how you assessed it, the steps you took to address it, and the positive outcome that followed. Be specific about your role and impact.

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How do you prioritize multiple compliance-related tasks?

Effective prioritization is key. I evaluate tasks based on urgency and importance, and I often use project management tools to keep track. Sharing examples of how you've managed competing deadlines in the past can illustrate your organizational skills.

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What is your experience with compliance training for staff?

In my previous role, I developed and implemented a comprehensive compliance training program. Highlight specific training techniques you used and how you ensured staff engagement. Discuss any feedback mechanisms you established to assess understanding and improvement.

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Why do you want to work as a Compliance Analyst at Providence Medical Foundation?

Express your admiration for Providence’s mission and values. Share that working in a patient-focused environment aligns with your personal values and career aspirations. Mention specific aspects of the role that excite you and how you can contribute to Providence’s goals.

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What role does communication play in your compliance strategy?

Communication is crucial in compliance, as it ensures that everyone is on the same page regarding regulations and standards. Discuss your experience in effectively communicating compliance changes, including how you disseminate information clearly and address questions or concerns.

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How do you assess the effectiveness of a compliance program?

To assess effectiveness, I look at both qualitative and quantitative metrics. This includes regular audits, staff feedback, and tracking compliance-related incidents. Sharing a specific instance where you conducted an assessment can showcase your analytical capabilities.

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Can you give an example of how you ensured compliance with federal regulations?

Detail a specific scenario where you navigated federal regulations, including your research methods, implementation strategies, and any collaboration with teams to ensure compliance. Sharing measurable outcomes or improvements can add impact to your example.

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What tools or technologies do you use for compliance management?

Discuss any compliance management tools or software you are familiar with or have used. Highlight how you leverage technology to streamline compliance processes, track changes, or assess risks effectively, showing your adaptability in a technology-driven environment.

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Full-time, on-site
DATE POSTED
April 17, 2025

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