L.A. Care Health Plan
Senior Manager, Compliance Delegation Oversight
L.A. Care Health Plan, Los Angeles, California, United States, 90079
Senior Manager, Compliance Delegation Oversight
Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11890 Salary Range:
$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members. Mission:
L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents. The Senior Manager, Compliance Delegation Oversight is a solutions-oriented, strategic thinker responsible for overseeing key Compliance Delegation Oversight functions, including a Governance/Oversight team and Delegate/FDR communication teams. This position is responsible for identifying compliance and performance risks, enhancing monitoring and auditing processes, and establishing mitigation strategies to ensure compliance with regulatory and accrediting agencies. Duties
Strategic Leadership, Team Management, and Professional Development: Plans and implements systems and procedures to maximize operating efficiency and achieve strategic priorities. Provides strategic direction and leadership to the team, ensuring alignment with organizational goals and objectives. Manages staff, including monitoring day-to-day activities, performance, mentoring, training, and encouraging staff recommendations for process enhancements. Operational Excellence and Process Enhancement: Oversees day-to-day operations, driving operational efficiency to meet performance targets. Drafts and refines comprehensive process maps, policies, procedures, and guidance documents. Champions process improvement initiatives to streamline workflows. Change Management and Program Development: Manages complex projects, engaging key stakeholders and developing timelines. Leads change management efforts for the implementation of new programs, systems, or policies. Cross-Functional Collaboration and Leadership: Leads inter-departmental collaborations and workgroups. Serves as a key liaison between departments, fostering communication for successful project execution. Regulatory Expertise and Compliance Oversight: Stays at the forefront of regulatory changes and analyzes applicable regulations. Risk Management, Vendor Oversight, and Performance Monitoring: Leads risk management efforts by overseeing compliance and operational risks related to vendors. Ensures alignment with regulatory standards while fostering strong vendor relationships. Technology Integration and Data-Driven Decision Making: Leverages data analytics and emerging technologies to optimize processes. Compliance and Quality Assurance: Ensures adherence to organizational, contractual, regulatory, and accreditation standards. Performs other duties as assigned. Education Required
Bachelor's Degree in Healthcare Management, Public Health, Business, Health Administration or Related Field. In lieu of degree, equivalent education and/or experience may be considered. Education Preferred
Master's Degree in Healthcare Management, Public Health, Business, Health Administration or Related Field. Experience
Required: At least 6 years of healthcare experience in compliance programs and managed care operations. At least 4 years of experience leading teams. Proven experience in change management and operational process improvement. Experience working with regulatory agencies and cross-functional teams. Preferred:
Extensive experience in healthcare consulting or relevant advisory experience. Skills
Required: Strong expertise in developing compliance programs. Demonstrated ability to engage with regulators and external stakeholders. Proven ability to drive team performance and align staff with organizational objectives. Licenses/Certifications Required
Licenses/Certifications Preferred
Certified HealthCare Compliance (CHC), Certified in Healthcare Compliance Fellow (CHC-F), Certified Compliance & Ethics Professional (CCEP), Project Management Professional (PMP), Lean Six Sigma. Physical Requirements
Light Additional Information
Additional Required Skills: Strong background in managed care operations. Demonstrated ability to manage multiple projects simultaneously. Proven ability to coach and train teams. Expertise in using Governance, Risk, and Compliance (GRC) tools. Salary Range Disclaimer:
The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including: Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Nearest Major Market:
Los Angeles Job Segment:
Risk Management, Healthcare Consultant, Medicaid, Medicare, Public Health, Finance, Healthcare
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Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11890 Salary Range:
$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members. Mission:
L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents. The Senior Manager, Compliance Delegation Oversight is a solutions-oriented, strategic thinker responsible for overseeing key Compliance Delegation Oversight functions, including a Governance/Oversight team and Delegate/FDR communication teams. This position is responsible for identifying compliance and performance risks, enhancing monitoring and auditing processes, and establishing mitigation strategies to ensure compliance with regulatory and accrediting agencies. Duties
Strategic Leadership, Team Management, and Professional Development: Plans and implements systems and procedures to maximize operating efficiency and achieve strategic priorities. Provides strategic direction and leadership to the team, ensuring alignment with organizational goals and objectives. Manages staff, including monitoring day-to-day activities, performance, mentoring, training, and encouraging staff recommendations for process enhancements. Operational Excellence and Process Enhancement: Oversees day-to-day operations, driving operational efficiency to meet performance targets. Drafts and refines comprehensive process maps, policies, procedures, and guidance documents. Champions process improvement initiatives to streamline workflows. Change Management and Program Development: Manages complex projects, engaging key stakeholders and developing timelines. Leads change management efforts for the implementation of new programs, systems, or policies. Cross-Functional Collaboration and Leadership: Leads inter-departmental collaborations and workgroups. Serves as a key liaison between departments, fostering communication for successful project execution. Regulatory Expertise and Compliance Oversight: Stays at the forefront of regulatory changes and analyzes applicable regulations. Risk Management, Vendor Oversight, and Performance Monitoring: Leads risk management efforts by overseeing compliance and operational risks related to vendors. Ensures alignment with regulatory standards while fostering strong vendor relationships. Technology Integration and Data-Driven Decision Making: Leverages data analytics and emerging technologies to optimize processes. Compliance and Quality Assurance: Ensures adherence to organizational, contractual, regulatory, and accreditation standards. Performs other duties as assigned. Education Required
Bachelor's Degree in Healthcare Management, Public Health, Business, Health Administration or Related Field. In lieu of degree, equivalent education and/or experience may be considered. Education Preferred
Master's Degree in Healthcare Management, Public Health, Business, Health Administration or Related Field. Experience
Required: At least 6 years of healthcare experience in compliance programs and managed care operations. At least 4 years of experience leading teams. Proven experience in change management and operational process improvement. Experience working with regulatory agencies and cross-functional teams. Preferred:
Extensive experience in healthcare consulting or relevant advisory experience. Skills
Required: Strong expertise in developing compliance programs. Demonstrated ability to engage with regulators and external stakeholders. Proven ability to drive team performance and align staff with organizational objectives. Licenses/Certifications Required
Licenses/Certifications Preferred
Certified HealthCare Compliance (CHC), Certified in Healthcare Compliance Fellow (CHC-F), Certified Compliance & Ethics Professional (CCEP), Project Management Professional (PMP), Lean Six Sigma. Physical Requirements
Light Additional Information
Additional Required Skills: Strong background in managed care operations. Demonstrated ability to manage multiple projects simultaneously. Proven ability to coach and train teams. Expertise in using Governance, Risk, and Compliance (GRC) tools. Salary Range Disclaimer:
The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including: Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Nearest Major Market:
Los Angeles Job Segment:
Risk Management, Healthcare Consultant, Medicaid, Medicare, Public Health, Finance, Healthcare
#J-18808-Ljbffr