California Licensed Medicare Compliance Manager

Job Summary

Managing compliance activities in a remote full-time capacity, the California Licensed Medicare Compliance Manager will oversee compliance reporting, investigations, and strategic initiatives while collaborating with internal and external stakeholders to ensure regulatory adherence.

Key responsibilities:

• Manage compliance activities by partnering with stakeholders and overseeing the design and execution of strategic compliance initiatives
• Oversee compliance reporting efforts, evaluating compliance data and presenting key findings to senior management
• Lead compliance investigations, collecting and analyzing data, and recommending corrective action plans for substantiated allegations

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or related fields
• At least two (2) years of experience in a leadership role, with or without direct reports
• Experience in managing compliance initiatives within a health plan or similar environment
• Strong understanding of regulatory compliance requirements and their application to operations