Senior Director II, Regulatory Operations
4 weeks ago
Salary Range: $171, Min.) - $232, Mid.) - $292, 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 Senior Director II, Regulatory Operations serves as a senior leader within the Compliance Department, overseeing and driving regulatory compliance and operational excellence within L.A. Care. This senior leadership role requires a strategic and visionary approach to navigating complex regulatory landscapes, driving operational excellence, and fostering a culture of compliance. The Senior Director II leads a large, multi-disciplinary team that includes Regulatory Compliance, Delegation Oversight, and Internal Monitoring. This multifaceted role centralizes several compliance functions critical to L.A. Care's success. Leadership and management of the Regulatory Operations division involves the strategic oversight & maturity of the regulatory compliance department dedicated to navigating regulatory changes, proactively remaining audit-ready, and staying abreast of industry best practices specific to L.A. Care's ecosystem. Simultaneously, the role extends to leadership in core oversight functions that include enterprise-wide monitoring and oversight of L.A. Care's delegated network. Enhancing the prevention, detection, and correction of compliance issues across the organization is a critical component of the role that requires collaboration with senior & executive leadership
This position is responsible for directing all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.
DutiesConduct strategic planning, optimizing resource utilization to meet current and future departmental goals, and ensuring the alignment of departments across the compliance vertical. Develops and directs strategic plans for the entire Regulatory Operations division. Lead and oversee committees that include the Internal Compliance Committee (ICC), the Delegation Oversight Committee (DOC), the Sanctions Committee, and any other committee directed by the executive leadership. Responsible for integrating regulatory oversight, enterprise monitoring, and delegation oversight to ensure L.A. Care's adherence to industry standards and regulations.
Prioritize and support the direct reports in managing day-to-day operations of several compliance units, covering Regulatory Audits & Monitoring, Regulatory Analysis and Communication, Material Review, Regulatory Affairs, Enterprise & Network Monitoring, Delegation Oversight Audit, and Enterprise and Network Clinical Monitoring. Create and enhance a culture of excellence within the Regulatory Operations division. Develops goals, objectives and actions plans for assigned staff that includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.Leads a cross-functional effort to mature and enhance the delegation oversight program. Establish a governance framework to guide the organization to ensure delegated entities comply with the requirements.
Develops a dynamic monitoring program that includes internal and delegate-specific measures. Identify noncompliance issues, possible risks, and enable the compliance department to work with applicable stakeholders to remedy these activities.
Develop and manage budgets effectively to achieve the compliance department goals. Oversee the efficient utilization of both internal and consultative staff to eliminate waste and increase efficiency.
Duties Continued
Drive change management initiatives to ensure the department is successful in adopting cutting-edge digital tools and best practices.
Collaborate with executive leadership in organizing and leading critical compliance committees that includes developing appropriate agendas, reports, and information requested by the committee and/or Board.
Perform other duties as assigned.
Education Required
In lieu of degree, equivalent education and/or experience may be considered.Education Preferred
Experience
Required:
At least 9 years of progressive health care compliance and/or audit experience including extensive experience in compliance or auditing in health care or another highly regulated industry.
At least 8 years of leading staff or supervisory/management experience.
Experience designing, implementing compliance programs, policies and practices; and/or managing health plan/ managed care business operations. Demonstrate progressive improvement in audit results over time.
Strong background and experience in cross-functional/team based approach to problem solving.
SkillsRequired:
Excellent interpersonal, verbal, and written communication skills.
Knowledge of Word and Excel.
Ability to drive strategic vision to accelerate and enhance development of quality control programs for business operations. Demonstrated ability to brainstorm, develop and implement new compliance/audit initiatives.
Demonstrates significant leadership competencies, including employee engagement, strategic thinking, thorough understanding how to use and manage health care data.
Demonstrates the ability to mentor and train staff, including improving the capacity of staff to achieve the highest levels of independent auditor performance and business collaboration.
Understanding of the vital importance of commitment to excellence and demonstrating a high regard for organizational values.
Strong organization and planning skills and be flexible to handle multiple assignments, changing priorities, and meeting.
Must be able to present findings to various levels of management, across all organizations.
Licenses/Certifications RequiredLicenses/Certifications Preferred
Certified Health Coach (CHC)Certified Internal Auditor (CIA)Required Training
Physical Requirements
LightAdditional Information
Financial Impact: Salary expense, office equipment
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
- Volunteer Time Off (VTO)
-
Care Management Initiatives Program Manager II
1 month 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...
-
Care Management Initiatives Program Manager II
1 month 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 Audits
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...
-
Clinical Operations Executive
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $206, Min.) - $278, Mid.) - $350, 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...
-
Telecomm Operator II
2 days ago
Los Angeles, California, United States Cedars-Sinai Medical Center Full timeJob Description Grow your career at Cedars-Sinai At Cedars-Sinai, we're motivated by a collective spirit of innovation and the challenge to continuously improve. Above all, we share a real passion for helping others. Day after day, from department to department, our people give their all to create a community unlike any other. This is just one of the many...
-
Regulatory Project Manager
3 weeks ago
Los Angeles, California, United States UCLA Health Full timeThe UCLA CORE Kidney Health Program is seeking an experienced RegulatoryProject Manager to oversee all regulatory aspects of clinical trials, clinical programs,our patient and community outreach program, education and training, and assistwith administrative tasks. You will be responsible for the oversight ofregulatory coordination for clinical research...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, 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, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, 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...
-
Authorization Technician II
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $47, Min.) - $57, Mid.) - $68, 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...
-
HR Director
4 weeks ago
Los Angeles, California, United States Ajulia Executive Search Full timeFulltime, OnsiteAre you looking to make a career change to a rapidly growing, stable, innovative entertainment company? This exciting opportunity as a HR Director offers a competitive salary plus an excellent benefits package including medical insurance, dental insurance, vision insurance, paid PTO, etc. Does this position match your future career goals?...
-
Senior Accounting Manager
4 weeks ago
Los Angeles, California, United States GHJ Full timeGHJ Search and Staffing serves as the recruitment division of GHJ, a prominent national accounting and advisory firm. Our team provides qualified Accounting and Finance professionals on a temporary and permanent basis across a broad range of industries. GHJ's relationship with our Global Advisory and Accounting Network provides the resources needed to better...
-
Administrative Assistant II, Float
1 month ago
Los Angeles, California, United States UCLA Health Full timeAs an Administrative Assistant II floater for the Department of Urology, responsibilities include answering, screening and responding to patient phone calls, scheduling clinic appointments, confirming clinic appointments, assisting patients with scheduling diagnostic tests, preparing charts and documents for clinic visits, filing, assisting with obtaining...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, 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, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, 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...
-
Director of Operations
4 weeks ago
Los Angeles, California, United States Fishwife Full timeFISHWIFE, DIRECTOR OF OPERATIONS (FULL-TIME)ABOUT FISHWIFE:Fishwife is a new women-founded and led food company aiming to make ethically-sourced, premium, and delicious tinned seafood a staple in every cupboard. We work with sustainable aquaculture farms, small boat fisherfolks, and microcanneries to bring the vibrance of European conservas culture to the...
-
Product Business Analyst II
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $77, Min.) - $100, Mid.) - $123, 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...
-
Claims Examiner II
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $55, Min.) - $69, Mid.) - $75, 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, California, United States L.A. Care Health Plan Full timeSalary Range: $88, Min.) - $115, Mid.) - $142, 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...
-
Behavioral Health Project Manager II
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $77, Min.) - $100, Mid.) - $123, 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...
-
Director of Finance
1 day ago
Los Angeles, California, United States Sheraton Gateway Los Angeles Full timeOverview Sheraton Gateway Los Angeles Hotel is seeking a dynamic and experienced Director of Finance to join our team. As a cornerstone of our leadership team, the Director of Finance will play a pivotal role in shaping the financial strategy and driving operational excellence at our esteemed property. With a rich history of providing unparalleled guest...