California Licensed Medicare Compliance Manager

Job Summary

Managing compliance activities for a health plan, the full-time California Licensed Medicare Compliance Manager will oversee compliance reporting, investigations, and strategic initiatives while working remotely.

Key responsibilities:

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

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, finance, or related fields
• At least two years of experience in a leadership role
• Experience in privacy and security compliance is preferred