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California Licensed Compliance Manager

Location: Remote
Compensation: Piece Work
Reviewed: Fri, Sep 11, 2026
This job expires in: 30 days

Job Summary

To enhance Health Plan Risk Adjustment operations, the full-time California Licensed Compliance Manager will oversee compliance oversight, coding validation, and audit readiness while working remotely.

Key responsibilities:
  • Manage compliance activities by collaborating with stakeholders and executing strategic compliance initiatives
  • Oversee coding validation and documentation reviews to ensure regulatory compliance and coding integrity
  • Develop and implement the annual coding audit plan in partnership with reimbursement compliance teams
Required qualifications:
  • Minimum six (6) years of medical coding experience
  • Minimum three (3) years of experience in a leadership role
  • Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
  • Minimum eight (8) years of experience in health care compliance, operations, audit, or related fields
  • Certified Coding Specialist or equivalent certification from recognized bodies

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