Compliance Advisor (Delegation Oversight)

Job Category:  Administrative, HR, Business Professionals
Department:  Compliance (145)
Location:  Los Angeles HQ, California, US
Position Type:  Full Time
Requisition ID:  474

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 in five health plans, we make sure our members get the right care at the right place at the right time.

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 and to support the safety net required to achieve that purpose.

DUTIES
The Compliance Advisor of Delegation Oversight ensures that L.A. Care business units are compliant with all Product Lines' contractual, state and federal regulatory, and accreditation requirements. The  Advisor shall have a working knowledge of DHCS, CMS, and NCQA requirements, as well as highly developed analytical and critical thinking skills, to serve as a resource to internal business units and external entities. The Advisor may investigate, assist with coordination and management of teams and workgroups, project documentation and workflows,  draft and complete presentations, auditing and monitoring of performance standards, and other duties as assigned. The Advisor should have excellent written and verbal communications skills.

QUALIFICATIONS & REQUIREMENTS

EDUCATION
Required:
Bachelor's Degree
In lieu of Bachelor's degree, 5 years of healthcare related experience

Preferred:
Master's Degree

EXPERIENCE
Required:
3-5 years of healthcare related experience
Ability to manage multiple priorities, projects and meet deadlines.
Excellent verbal and written communication skills
Demonstrate experience developing and delivering training programs, and making presentations to internal staff and providers.
Ability to draft policies and procedures.Ÿ

L.A. Care offer a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program


Job Segment: Medical, Healthcare