What are the responsibilities and job description for the Compliance Manager position at Central California Alliance for Health?
Compliance Manager
Location : Remote, California
We have an opportunity to join the Alliance as the Compliance Manager leading a team in the Compliance Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Compliance Director, this position will manage the Compliance function, act as a subject matter expert, maintain, and monitor the Compliance Plan, and provide guidance on Compliance functions and departmental operations in a proactive and collaborative manner. This person will also manage the Risk Assessment and Internal Audit and Monitoring Program, provide regulatory audit support, and manage the Alliance's external regulatory audit functions and the Delegate Oversight Program. In addition, this person will manage, lead, supervise, mentor, and train assigned staff.
ABOUT THE TEAM
The Compliance Division interprets requirements, mitigates risk, and holds stakeholders accountable, protecting the organization's integrity and member access to quality healthcare.
We are the team that helps employees understand and follow the complex rules and requirements to meet our important compliance obligations. In short, we define and support the Alliance's Culture of Compliance internally and with our external healthcare partners. We perform internal audits and monitoring to help us maintain a compliance program that is always up-to-date with ever-evolving compliance rules and obligations. We also handle and investigate internal concerns related to HIPAA, fraud, waste, and abuse, and conduct prevention and detection activities.
THE IDEAL CANDIDATE
- Is proactive; takes initiative and works effectively with others to achieve common goals
- Is open to learning new technologies, particularly in AI software and workflow automation
- Is adaptable to change, and new processes, with the ability to lead in a dynamic, evolving environment
- Has experience with Risk Assessing, Delegate Oversight, Auditing, Monitoring and NCQA standards
- Is comfortable handling difficult conversations, adjusting communication style to different personalities, and audiences within the organization
- Has experience in public speaking and facilitating group interactions, with the ability to engage both small and large audiences effectively
- Works well as part of a team, fostering collaboration and maintaining open, proactive communication
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description and list of requirements click here .
Train, mentor, supervise, and evaluate the work of staff, promote an atmosphere of teamwork and cooperation, and motivate staff to achieve goals and objectives
Bachelor's degree in Business or Public Administration, Health Care Administration, Public Policy, or a related field and a minimum of six years of compliance-related experience in the healthcare industry which included some lead or supervisory responsibility (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Typical areas in Zone 1 : Bay Area, Sacramento, Los Angeles area, San Diego area
Typical areas in Zone 2 : Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area
Zone 1 (Monterey, San Benito and Santa Cruz)
114,030 - $182,458 USD
Zone 2 (Mariposa and Merced)
103,772 - $166,046 USD
OUR BENEFITS
Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
Salary : $103,772 - $166,046
