County of Alameda

Compliance Officer, Behavioral Health Care Services (#5095)

Bargaining Unit: Unrep - HCSA Tech/Para Mgmt (U45)
$50.45-$62.24 Hourly / $4,036.00-$4,979.20 BiWeekly /
$8,744.67-$10,788.27 Monthly / $104,936.00-$129,459.20 Yearly


DESCRIPTION
Under administrative direction, develops, coordinates and monitors the compliance program for the Department of Behavioral Health Care Services (BHCS). Plans, organizes, and administers the Department’s compliance activities; reviews and evaluates compliance issues within the department and facilitates the investigation and resolution of compliance issues. This position ensures that management and employees are in compliance with the rules and regulations of regulatory agencies and all applicable federal and state laws including but not limited to access to health information and compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the American with Disabilities Act (ADA); and performs other related work as required.

DISTINGUISHING FEATURES

This single position class reports to the Director, Behavioral Health Care Services and is responsible for the broad coordination of the Department’s comprehensive compliance and privacy assurance program. The incumbent is responsible for coordinating and performing activities related to education, training, auditing and investigations to ensure employee awareness and compliance with the program and may serve as project manager overseeing the development, implementation, and maintenance of related programs. This classification is distinguished from the Quality Assurance Administrator class which has primary responsibility for day to day operational issues focused on the appropriate and effective delivery of services to clients whereby this classification is focused on broader departmental-wide compliance activities.

EXAMPLES OF DUTIES
NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Develops, implements and maintains the department’s compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other behavioral health program requirements.

2. Initiates, develops and revises written policies, procedures, and standards necessary for compliance with all relevant local, state, and federal regulations including those involving the handling of private information; those intended to detect and prevent fraud and abuse; those pertaining to client referrals and other client relationships, and those related to Medicare/Medicaid requirements, HIPAA and related behavioral health programs.

3. Coordinates with County Counsel and the department to develop and maintain legally compliant policies, practices, documents and forms. Consults with County Counsel as needed to resolve difficult legal compliance issues.

4. Coordinates the development of training and education initiatives necessary for the Department’s ongoing compliance and compliance program.

5. Identifies potential areas of compliance vulnerability and risk; develops corrective action plans to address problematic areas and provides general guidance on managing similar situations in the future.

6. Promotes employee awareness of ethical and compliant practices consistent with the department’s compliance program and those established by related laws and regulations.

7. Develops and maintains effective communication and reporting mechanisms that encourage employees and clients to report suspected non-compliance with established requirements and standards.

8. Develops and administers formal processes for the receipt, investigation, and resolution of suspected violations; Conducts investigation of violations; prepares and distributes reports including findings and recommendations to departmental leadership and other pertinent parties.

9. Prepares and submits regular written reports for departmental management, Agency Administration, the Board of Supervisors, County Administrator’s Office, and other agencies as needed regarding the status of the department's compliance program.

10. Monitors legislation, regulations, court decisions and industry standards to identify changing requirements and prepares recommendations to ensure continued compliance.

11. Maintains accurate records and files.

MINIMUM QUALIFICATIONS
Education:

Possession of a Bachelor's degree in public health, health care administration, social work, business/public administration, or a related field.

Experience:

Four (4) years of responsible, professional level experience in one or more of the following areas in a health or human services setting: regulatory compliance, quality assurance, health care law and/or administration, risk management and/or regulatory investigations.

A Master's degree in public health, health care administration, social work, business/public administration, or a related field may be substituted for one year of the required experience.

Possession of a Healthcare Compliance Certificate issued by the Health Care Compliance Certification Board is highly desirable.

License:

Possession of a valid California Motor Vehicle Operator’s license.

NOTE: The Civil Service Commission may modify the Minimum Qualifications in the announcement of an examination.

KNOWLEDGE AND SKILLS
NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the “Examples of Duties” section of this specification.

Knowledge of:

• Public administration principles and practices, including strategic planning, program development, implementation and evaluation, and management in a public setting.

• Behavioral Health management, policy and system design.

• Federal, State and local regulations as they relate to behavioral health care services; including quality assurance practices, privacy standards, and HIPAA compliance regulations.

• Practices, procedures, and legislation governing the maintenance, storage, dissemination, and safeguarding of private, health-related information.

• Interviewing and investigative techniques.

• Research methods and techniques.

• Records management principles and practices.

• Computer applications related to the work.

Ability to:

• Compile, analyze, and evaluate information and information security controls for efficiency and cost effectiveness.

• Solve problems including problem identification, research and analysis of alternatives, drawing conclusions, and making recommendations.

• Perform basic mathematical calculations and produce statistical reports and data analysis as required.

• Interpret, apply, and explain laws, rules, regulations, policies, and procedures.

• Use sound, independent judgment within general policy guidelines.

• Organize work, coordinate multiple projects, and meet critical deadlines.

• Prepare clear, concise, and accurate reports, correspondence, policies, procedures, and other written materials.

• Use computer applications effectively, including word processing, spreadsheets and basic graphics.

• Employ critical thinking skills to planning and problem solving.

• Establish and maintain effective working relationships with co-workers, clients, customers, and representatives of other agencies or departments.

• Communicate effectively both verbally and in writing.


CLASS SPEC HISTORY
Newspecs: 5095
NLB:cs 10/31/14
CSC Date: 11/12/14

BENEFITS

Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees)
  • Accidental Death and Dismemberment Insurance 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • Catastrophic Sick Leave
  • Employee Mortgage Loan Program
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.