Lead Compliance & Risk Analyst

As we grow our team, we are looking for individuals who believe the patient is always #1. 

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”

We're looking for someone to join our team as a Lead Compliance and Risk Analyst who:

The Lead Compliance and Risk Analyst reports to the Manager - Compliance & Risk and serves as a lead support role in the administration, coordination, monitoring, and continuous improvement of Clinica Sierra Vista’s compliance and risk management programs. This position helps ensure adherence to applicable laws, regulations, contractual obligations, accreditation standards, and internal policies. The Lead Compliance and Risk Analyst supports audits, investigations, education and training, incident reporting, risk mitigation, regulatory readiness, and corrective action follow-up. The role also provides guidance and day-to-day support to Compliance and Risk Analysts, serves as a resource to staff, and promotes a culture of ethics, safety, accountability, confidentiality, and continuous improvement across the organization.

Essential Functions:

• Coordinates and monitors compliance and risk program activities; identifies potential noncompliance or risk concerns, recommends corrective actions, and follows up to ensure approved recommendations are implemented and documented.
• Provides lead support to Compliance and Risk Analysts by helping prioritize work, review documentation, support training, monitor follow-up items, and escalate significant issues to the Manager - Compliance & Risk or executive leadership as appropriate.
• Develops and coordinates compliance training and education programs.
• Ensures conformance with applicable laws, statutes, regulations, and internal policies and controls.
• Assists with development, tracking, and reporting of CSV’s Annual Compliance Work Plan in collaboration with the Manager - Compliance & Risk.
• Conducts or supports investigations related to compliance concerns, reported issues, suspected violations, incidents, and corrective action plans under the direction of the Manager - Compliance & Risk.
• Serves as a resource to CSV departments on healthcare compliance requirements, internal auditing procedures, documentation standards, privacy requirements, and related regulatory expectations, including HIPAA.
•  Processes complaints, reported violations, incidents, and risk events in a timely and confidential manner, including intake, review, investigation support, tracking, and follow-up as appropriate.
• Assists departments with compliance and risk-related processes, including audit readiness, documentation, issue tracking, and implementation of corrective action plans.
• Regular and predictable attendance.
• Performs other duties as needed by the organization or as assigned, including participation in all required meetings.

Risk Management Duties and Responsibilities:

• Assists with implementation, monitoring, and annual review of the Risk Management Plan under the direction of the Manager - Compliance & Risk.
• Analyzes risk trends, prepares reports, identifies opportunities for improvement, and recommends risk mitigation, quality improvement, and patient safety actions.
• Coordinates incident reporting, peer review activities, root cause analyses, claims-related documentation, and required regulatory reporting in collaboration with appropriate departments.
• Assists with communication and coordination with malpractice carriers, legal counsel, and insurance representatives. 
• Supports risk reduction education and training for staff, including documentation and reporting requirements. 
• Helps maintain risk management files, claims documentation, and confidential records in compliance with legal standards.
• Prepares for and supports agency, accreditation, and health plan audits, including Joint Commission, Operational Site Visits, FTCA-related reviews, and other regulatory or contractual audits.

Compliance Duties & Responsibilities: 

• Assists the Manager - Compliance & Risk in coordinating and monitoring the Corporate Compliance Program, Compliance and Risk Committee activities, and Annual Compliance Work Plan.
• Supports internal compliance audits, reviews, and investigations, including follow‑up on corrective actions.
• Assists with development, revision, and implementation of compliance policies and procedures.
• Coordinates compliance education, training, and communication efforts for employees and leadership.
• Monitors the compliance reporting process, including intake, tracking, and coordination of responses and investigations.
• Helps ensure compliance with applicable federal and state laws, regulations, and program requirements, including HIPAA, FTCA, OIG, BPHC/HRSA, OSHA, EMTALA, and related requirements.
• Assists with exclusion list checks, credentialing and privileging oversight, and Red Flag Rule compliance.
• Serves as a resource to departments on compliance-related questions and best practices, escalating issues as needed.

You'll be successful with the following qualifications:

• Bachelor’s degree in healthcare administration, business administration, public administration, law, compliance, risk management, or a related field required. Master’s degree preferred.
• Minimum of five years of progressively responsible experience in compliance, risk management, healthcare operations, auditing, investigations, or a regulated environment required; healthcare or FQHC experience preferred.
• Demonstrated ability to provide lead-level support, coordinate projects, train staff, monitor work plans, and communicate effectively in a healthcare delivery or regulated organization.
• Healthcare compliance, privacy, risk management, or related certification preferred, such as CHC, CHPC, CCEP, CPHRM, CPMSM, or equivalent certification.
• Able to multitask, prioritize, and manage time efficiently.
• Valid California driver’s license, auto insurance, and personal transportation.
• Must adhere to Clinica Sierra Vista’s employee health/immunization requirements or provide a valid exemption request for subsequent approval.
  

  Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

  Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!