Skip to content

Main menu. Press enter or space keys to expands and escape key to collapse

General Information

Work Location: Los Angeles, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday, 8:00am-5:00pm PST
Posted Date
03/18/2025
Salary Range: $83800 - 179400 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
23061

Primary Duties and Responsibilities

We are seeking a highly skilled and independent professional to play a key role in the development, implementation, and maintenance of our organization’s compliance program. This position will have a significant and wide-reaching impact on the organization's compliance status and the viability of new products. The ideal candidate will bring expert-level knowledge of CMS and DMHC legal and regulatory requirements, as well as industry best practices, specifically in relation to Medicare Advantage health plan operations within an integrated system.

You will:

• Lead and execute day-to-day tasks related to the department’s compliance program, ensuring adherence to regulatory standards.

• Develop and implement compliance procedures tailored to the organization’s structure, experience, and product offerings.

• Collaborate across multiple levels of the organization to drive participation, efficiency, and compliance within the program.

• Ensure the effective communication and oversight of compliance-related activities across a wide scope of business partners and operational units.

• Maintain a deep understanding of regulatory requirements and best practices related to Medicare Advantage health plan operations.

• Act as a trusted advisor and partner, providing expertise and guidance to ensure compliance program success.

Salary Range: $83,800-179,400/annually


Job Qualifications

We’re seeking a detail-oriented, self-directed individual with:

• Bachelor’s Degree or five (5) Medicare Compliance experience at a health plan in lieu of degree.

• Minimum of three (3) years previous experience in compliance oversight role.

• Experience with a Medicare Advantage health plan with integrated system strongly preferred.

• Strong working knowledge of CMS regulations, audits, expectations, and best practices.

• Experience interacting with regulatory agencies and/or auditors.

• Strong technical, organizational, and analytical abilities.

• Excellent communication skills, both written and oral, with the ability to engage effectively diverse audiences.

• Adaptable and able to thrive in dynamic environment, responding effectively to change.

• Comfortable working in a fast-paced, startup setting where processes are still being defined.



As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.