Compliance Manager

We have an opportunity to join the Alliance as the Compliance Manager, leading in the Compliance Department. This role can be filled in any of our three Alliance  offices: Merced, Salinas or Scotts Valley. 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Compliance Officer, you will:

• Manages the Compliance function and maintains and monitors the Compliance Plan
• Manages the Health Insurance Portability and Accountability Act (HIPAA) Program
• Manages the Internal Audit and Monitoring Program and oversees regulatory audit support
• Manages the Program Integrity Program
• Manages the Delegate Oversight Program
• Manages, leads, supervises, mentors and trains assigned staff

ABOUT THE TEAM

The Compliance team works closely with the Executive-Government Relations team to ensure that the Alliance carries out its mission with transparency and integrity.​​​ The Compliance Department ​is a great internal resource to answer questions about the Alliance's contractual, regulatory or HIPAA laws and requirements. 

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here

• Knowledge of:
• Principles and techniques associated with healthcare compliance functions
• Principles and practices of health care planning and administration
• Healthcare regulatory policies
• Medi-Cal, Public Assistance and/or Social Security programs
• Quality improvement practices and audit techniques
• Basic principles and practices of supervision and training
• Ability to:
  • Train, mentor, supervise, and evaluate the work of staff and motivate staff to achieve goals and objectives
  • Develop work plans and workflows and organize and prioritize Compliance activities
  • Act as a technical resource and interpret, apply and explain complex principles, policies, procedures, regulations, terms, processes, and programs related to area of assignment
  • Organize and prioritize the work of others, delegate effectively, and follow up on work assignments
  • Provide leadership and facilitate and lead meetings and projects
  • Identify and define issues, conduct research, interpret data and information, evaluate options, and recommend or implement appropriate action
• Education and Experience:
  • Bachelor’s degree in Business or Public Administration, Health Care Administration, Public Policy or a related field
  • 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 DETAILS

• While this position is connected to one of our Alliance offices, we are in a fully remote work environment right now due to COVID-19. The interview and on-boarding process will be completed remotely
• This position may require onsite presence when our offices re-open, no sooner than September 7, 2021. Onsite presence will most likely be on a part-time basis, but is dependent on business needs