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Participates in and serves on SCHS committees, collaborates with business, operational, legal, and compliance stakeholders, and supports all compliance-related processes and activities, including without limitation, monitoring 340B program activities, OIG exclusion list compliance, annual compliance education & training, and OIG Audit Plan risk assessments. Identifies compliance risk through a collaborative risk assessment process with key stakeholders, including the Compliance Steering Committee, and is a key contributor to the enterprise-wide compliance risk assessment by incorporating relevant information obtained through internal audits and investigations, the compliance hotline, the OIG work plan, and recent enforcement trends.

YEAR

St. Charles Health System

Senior Compliance Analyst

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Charles Health System (SCHS) including: quality improvement expertise and support; data analysis; regulatory affairs, accreditation and licensing expertise and support; environment of care safety programming, expertise, and support; emergency preparedness; policy and document library management and support; data abstraction; integrity of clinical documentation; and the patient experience and grievance program. Provides strategic consultation to document owners, leadership, and governance bodies regarding regulatory requirements, document content, and organizational risk, supporting enterprise-wide consistency, accreditation readiness, and sustained regulatory compliance.

Regulatory Affairs, Accreditation & Licensing Analyst

Plans and executes audits by assessing risk, developing audit programs, determining testing methodologies, conducting fieldwork, evaluating results, preparing audit reports, presenting findings, and facilitating management responses and corrective action plans. Uses statistical and non-statistical sampling techniques, computer-assisted audit tools and techniques (CAATTs), data analytics, and data visualization tools to support audit activities, identify trends, and enhance stakeholder understanding of risks and opportunities.

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