Vista Community Clinic

Compliance Improvement Specialist

Req No.
2025-4815
Location
US-CA-Vista
Type
Regular Full-Time
Department
Compliance
Schedule
Monday - Friday 8:00 am to 5:00 pm

Overview

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most.

 

As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

 

Benefits include:
✅ Competitive compensation & benefits 
✅ Medical, dental, vision
✅ Company-paid life insurance 
✅ Flexible spending accounts 
✅ 403(b) retirement plan 

Why VCC?

• 🏅 Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

• Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

• A robust training & development culture to help you grow and advance your career.

• A workplace built on respect, collaboration and passion for care.

Responsibilities

Job Summary

The Compliance Improvement Specialist will assist with compliance improvement activities to ensure accreditation and regulatory requirements are adhered to for all applicable federal, state and local laws. This position is responsible for conducting on-going reviews of clinical and operational functions ensuring care is standardized and appropriate at all clinic sites.

 

Essential Job Functions

  • Responsible for auditing and monitoring VCC’s compliance improvement initiatives consisting of, but not limited to the following: program management, risk management, outcomes measurement and aggregation, data management and initiation of new compliance processes based on data analysis
  • Conduct new clinician orientation; conduct document audits of new clinicians
  • Assist CCQO, CMO and COO with providing compliance and quality measurement reporting and recommendations
  • Research program requirements and define outcome and measureable results
  • Prepare clinics for site visits and audits including identification of medical records to be used in audits
  • Conduct facility reviews to ensure all clinic sites follow licensing and program requirements
  • Assist in the completion of applications for various programs: CHDP, EWC, FPACT, CPCP, etc.; update applications as needed
  • Monitor annual reviews of policies and procedures to ensure they are current
  • Review regulatory and contractual requirements and accreditation standards related to compliance management to ensure compliance between standards and internal operations

Compliance

  • Assist CCQO with the design and implementation of compliance and compliance improvement programs
  • Maintain systems to establish databases, interpret results, validate compliance improvement indicators, and identify actual or potential problems and opportunities to improve patient care
  • Develop and compile reports of findings; provide written and verbal reports to staff on outcomes of audits identifying areas in need of improvement
  • Participate in the development of corrective action plans for data collection, interpretation and/or problem resolution/opportunities to improve care; monitor follow-up of corrective action plan

Training and Education

  • Conduct clinician training to ensure quality health care as measured by DHCS, HRSA, NCQA and other regulatory, licensing, or credentialing organizations
  • Conduct training for non-clinician staff as needed\
  • Maintain a system of record keeping relative to pertinent quality and educational information
  • Maintain effective human relations by communicating, interacting and problem solving with administration, medical and nursing personnel while functioning within appropriate reporting lines

Qualifications

Minimum Qualifications

  • Bachelor’s Degree in healthcare administration or related health field
  • Minimum three years’ experience working in an outpatient physician practice / ambulatory setting
  • Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes
  • Ability to generate reports from NextGen
  • Understanding of HIPAA privacy and security and HiTech requirements and compliance/audit related issues

Preferred Qualifications

  • Strong understanding of the NextGen Electronic Health Record (EHR) and Practice Management (EPM) system
  • Minimum three years’ healthcare information systems experience applying analytical methodologies, with specific experience utilizing electronic health information system and/or Information interfaces

Required Skills/Knowledge/Abilities

  • Understanding of HIPAA privacy and security requirements, HiTech requirements and compliance/audit related issues
  • Strong problem solving skills, ability to manage project tasks and timelines; strong analytical ability
  • Experience/familiarity with computers, business e-mail, communication systems and internet search capabilities and proficient in Microsoft Office products, specifically Word, Excel, Outlook, Access, PowerPoint, Publisher
  • Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs

Pay Range

  • $26.00 - $30.00 DOE

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