Manager, Regulatory Audits
3 weeks ago
Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (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 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.
The Manager, Regulatory Audits serves as a leader within the Compliance Department. The Manager manages the Regulatory Audits unit and includes the various required regulatory audits by the State, Federal, and Local agencies. The Manager oversees the enterprise-wide audit readiness program to ensure ongoing compliance and regulatory audit readiness. The Manager develops regulatory reports, agendas, minutes and communications to the Internal Compliance Committee (ICC) and the Compliance and Quality Committee of the Board of Governors. The Manager prepares executive summaries and audit reports, develops and conducts training activities for upcoming audits to peers and L.A. Care business units.
The Manager advises and supports the senior management on other duties as assigned to support the mission and responsibilities of the Compliance Department, and to support the mission and business operations of L.A. Care Health Plan.
The Manager manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.
DutiesManage staff, including, but not limited to: hiring staff, monitoring of day-to-day activities of staff, monitoring of staff performance, performance reviews, mentoring, training, and cross training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, disciplinary matters for direct reports, among others.
Develop goals, objectives and actions plans for assigned staff.
Develop and timely revise policies and procedures, desktop manuals and other guidance for effective and efficient administration of team functions. Lead special projects as needed.
Design and implement comprehensive audit plans in alignment with regulatory requirements and organizational objectives.
Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval.
Plans and implements systems and procedures to maximize operating efficiency and achieve strategic priorities.
Oversee the execution of regulatory audits, including planning, scheduling, conducting fieldwork, and reporting findings.
Prepare clear and concise audit reports documenting findings, recommendations, and corrective actions, and present them to senior management and regulatory authorities as required.
Implement quality assurance measures to ensure the effectiveness and reliability of audit processes and findings. Maintain accurate and organized audit documentation and records in accordance with regulatory and organizational requirements. Collaborate effectively with cross-functional teams, including legal, compliance,
Duties Continuedfinance, IT, and operations, to address audit findings, implement corrective actions, and drive organizational change.
Perform other duties as assigned.
Education Required Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred Master's Degree in Business Administration or Related FieldExperienceRequired:
At least 5 years of progressive experience in internal or external auditing, regulatory compliance, or related fields.
At least 3 years of leading staff or supervisory/management experience. Demonstrated experience leading and managing audits, preferably in a regulated industry such as banking, finance, healthcare, pharmaceuticals, or manufacturing.
Experience with implementing or supporting the implementation of managed Medicare, Medicaid or commercial regulations.
Equivalency:
Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.
SkillsRequired:
Strong organizational and planning skills, including flexibility to handle multiple assignments, changing priorities, and compressed deadlines.
Proficient in MS Office, including with Word and Excel.
Excellent interpersonal, verbal and written communication skills.
Strong analytical and problem-solving skills, with the ability to analyze data, evaluate controls, and identify trends, patterns, and anomalies.
Proficiency in using data analytics tools and techniques to enhance audit effectiveness and efficiency.
Proficiency in project management methodologies, tools, and techniques, with experience in planning, executing, and monitoring audit projects within established timelines and budgets.
Preferred:
Deep understanding of the healthcare industry, regulatory model, products, services, and regulatory agencies. Familiarity with industry-specific regulations, challenges, and emerging trends is beneficial.
In-depth understanding of relevant regulatory requirements, standards, and frameworks applicable to the managed health care industry. Familiarity with regulatory bodies such as the Centers for Medicare and Medicaid Services (CMS), the Department of Managed Healthcare (DMHC), and the Department of Health Care Services (DHCS).
Licenses/Certifications Required Licenses/Certifications Preferred Certified Internal Auditor (CIA)Certified HealthCare Compliance (CHC)Certified Regulatory Compliance Manager (CRCM)Required Training Physical Requirements LightAdditional InformationSalary 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
- Volunteer Time Off (VTO)
-
Manager, Regulatory Audits
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $102, Min.) - $132, Mid.) - $163, 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 in five health plans, we make...
-
Los Angeles, United States Royal Bank of Canada Full time**Job Summary** The Audit Manager position is a managerial role supporting the maintenance and operations of the regulatory relationship with US Prudential regulators that covers all aspects of US Internal Audit (IA) activity and to support key IA stakeholders. Additionally, this position will be required to maintain and enhance management of regulatory...
-
Manager, Regulatory Affairs
2 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (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...
-
Manager, Regulatory Affairs
2 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $102, Min.) - $132, Mid.) - $163, 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 in five health plans, we make...
-
Manager of Audit Ii- Risk Management
1 month ago
Los Angeles, United States City National Bank Full timeOverview: **MANAGER OF AUDIT II- RISK MANAGEMENT** **WHAT IS THE OPPORTUNITY?** The Audit Manager II position is a leadership role as an auditor-in-charge to guide a team of auditors to assess risks, develop detailed audit programs, identify data analytic opportunities, execute audit programs, analyze results of testing performed, and effectively...
-
Manager, Regulatory Affairs
7 days ago
Los Angeles, United States L.A. Care Health Plan Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Manager, Regulatory Affairs Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11228 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.)...
-
Manager, Regulatory Affairs
2 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $102, Min.) - $132, Mid.) - $163, 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 in five health plans, we make...
-
Manager, Regulatory Affairs
2 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (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...
-
Internal Audit Manager
2 weeks ago
Los Angeles, United States JCW Resourcing Full timeJob Type: Permanent/Fixed Term JCW is recruiting on behalf of a global asset management firm looking to bring an Internal Audit Manager into their audit function. Reporting directly to the audit director, you will lead and execute internal audit activities, providing valuable insights to enhance internal controls and mitigate risks. The ideal candidate will...
-
Senior Manager, Regulatory Strategy
1 month ago
Los Angeles, United States Identified Talent Solutions Full timeJob DescriptionJob DescriptionJob Title: Senior Manager, Regulatory StrategyLocation: Azusa, CAPosition Type: Full-timeExciting opportunity to join a dynamic and innovative Cosmetics company - the team is committed to excellence and continuous improvement in all aspects of the business, but most importantly QC/Regulatory. As the team expands operations, they...
-
Senior Manager, Regulatory Strategy
2 months ago
Los Angeles, United States Identified Talent Solutions Full timeJob DescriptionJob DescriptionJob Title: Senior Manager, Regulatory StrategyLocation: Azusa, CAPosition Type: Full-timeExciting opportunity to join a dynamic and innovative Cosmetics company - the team is committed to excellence and continuous improvement in all aspects of the business, but most importantly QC/Regulatory. As the team expands operations, they...
-
Manager of Audit I- Operational Risk Management
2 weeks ago
Los Angeles, United States City National Bank Full timeOverview: **MANAGER OF AUDIT I-OPERATIONAL RISK MANAGEMENT** **WHAT IS THE OPPORTUNITY?** The Audit Manager I position is a leadership role as an auditor-in-charge to guide a team of auditors to assess risks, develop detail audit programs, identify data analytic opportunities, execute audit programs, analyze results of testing performed, and effectively...
-
Manager, Regulatory Affairs
4 days ago
Los Angeles, CA, United States L.A. Care Health Plan Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Manager, Regulatory Affairs Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11228 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.)...
-
Temporary Manager, Regulatory Affairs
4 days ago
Los Angeles, CA, United States L.A. Care Health Plan Full timePress Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Manager, Regulatory Affairs Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11228 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.)...
-
Audit Manager
1 month ago
Los Angeles, United States Regal Executive Search Full timeJob Description Audit Manager Our Audit Services Team is committed to adding value to our clients. Our client service model focuses on quick response times and efficient audit services. As a CPA firm, we provide audit services to small to mid-cap companies and our structure allows for more competitive fees than Big 4 and national CPAs without sacrificing...
-
Delegation Oversight Clinical Audit Manager
6 days ago
Los Angeles, United States North American Staffing Group, Inc. Full timeJob DescriptionJob DescriptionTitle: Delegation Oversight Clinical Audit Manager, RNTerm: Direct-Hire, full timeLocation: Fully Remote (Company located in Los Angeles, CA.)Requirements:Bachelor's degree in nursing.Active California RN license Advanced Certification in Excel software program6-8 years minimum of clinical auditing or healthcare focusing...
-
Delegation Oversight Clinical Audit Manager
3 days ago
Los Angeles, United States North American Staffing Group, Inc. Full timeJob DescriptionJob DescriptionTitle: Delegation Oversight Clinical Audit Manager, RNTerm: Direct-Hire, full timeLocation: Fully Remote (Company located in Los Angeles, CA.)Requirements:Bachelor's degree in nursing.Advanced Certification in Excel software program6-8 years minimum of clinical auditing or healthcare focusing on Utilization Management4-5...
-
Regulatory Affairs Specialist
7 days ago
Los Angeles, United States BioPhase Solutions Full timeJob DescriptionJob DescriptionBioPhase Solutions specializes in recruiting top talented professionals for Southern California's Scientific community. We are currently looking for a Regulatory Affairs Specialist to work for a leading Greater Los Angeles area medical device company.Salary: $100-105kResponsibilities:Orchestrates the coordination and...
-
Audit Seniors, Audit Managers
7 days ago
Los Angeles, United States Gables Search Group Full timeOur client is a boutique accounting firm known for being a great place to work and build a career. The firm provides audit, tax, and advisory services for a variety of industries. Our growth is driven by delivering real results for our clients. Our success is due largely to our dedicated employees. It's also enabled by our culture, which encourages...
-
Manager, Delegation Oversight Clinical Audit
2 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $117, Min.) - $152, Mid.) - $188, 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 in five health plans, we make...
