Sr. Compliance Analyst

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Coordinates and analyzes events and transactions for regulatory compliance. Evaluates, monitors, and communicates the corporate compliance program to the organization, its members and affiliates. Partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or corporate entities. Provides analytic support to assigned functional areas.

Job Requirements:

Education And Work Experience:

• Associate’s/Technical Degree or equivalent combination of education/related experience: Required
• Bachelor's Degree: Preferred
• Five years’ relevant experience: Preferred

Essential Functions:

• Works with contract specialists, corporate compliance departmental staff, legal counsel and paralegals to determine if facilities are processing physician contracts according to policy. Reviews hospital physician contract lists to ensure contracts are renewed properly and that no gaps occur with respect to the physician contract and services rendered.
• Reviews facility accounts payable transactions for physicians. Communicates desk audit findings to management and ensures hospitals respond to the findings. Monitors and maintains the internal corporate compliance reporting process to ensure organization employees and agents can report ethics and compliance concerns without fear of retaliation.
• Coordinates, reviews, and prepares physician contract information for presentation to the organization's Compliance Committee. Evaluates internal control systems designed to detect significant instances or patterns of illegal or unethical conduct by employees or agents. Provides technical support and consultation to executive management to help determine appropriate responses to potential compliance violations.
• Maintains the Hotline reporting database, participates in the Hotline investigations, and helps ensure issues are resolved in an efficient and timely manner. Summarizes compliance reports for presentation to the organization's legal board and/or its appointed subcommittee.
• Monitors legislation and regulations involving compliance-related issues, such as physician contracting, patient billing and coding, etc. Communicates the organization's Code of Conduct to all employees, refreshes employees’ knowledge of the Code of Conduct, and addresses areas of compliance risk concerning specific employee populations.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.