Compliance Manager - Healthcare jobs in California

Under the direction of the CEO, the Corporate Compliance Manager is designated to develop, coordinate and monitor the key elements of the Corporate Compliance Plan. This plan is based upon the TrueCare corporate mission statement, strategic enterprise management areas, and guidelines set forth by the United States Department of Health and Human Services, HRSA, the Office of Inspector General (OIG,) and in accordance with the Office of Pharmacy Affairs and the HIPAA Privacy and Security Rule.

Some of the essential functions include:

• Oversee and manage the day-to-day operation of the TrueCare Corporate Compliance Plan.
• Develop and manage the annual Internal Audit and Monitoring Work Plan.
• Periodically revise the Compliance Plan in light of changes in the organization's needs and in the law and policies and procedures of Government and health plans.
• Develop, initiate, maintain and revise policies and procedures for the general operation of the Compliance Plan and its related activities to prevent illegal, unethical, or improper conduct.
• Collaborate with other departments (e.g., Human Resources) to direct compliance issues to appropriate existing channels for investigation and resolution.
• Ensure alleged violations of rules, regulations, policies, procedures, and Code of Conduct by initiation of communication to appropriate stakeholders.
• Monitor, and as necessary, coordinate compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.
• Identify potential areas of enterprise risk; develop/implement corrective action plans for resolution of problematic issues, and provide general guidance on how to avoid or deal with similar situations in the future.

Required Qualifications -

• Bachelor’s degree in business, healthcare administration or related field.
• At least three (3) years of healthcare experience.
• Demonstrated knowledge of business ethics and legal and compliance risks.
• Experience with and understanding of federal, state, and regulatory policies as related to health care.
• Comprehensive knowledge of the principles and practices of health care delivery.
• Computer proficiency with Microsoft Office applications, including Outlook, Word, Excel and PowerPoint.

TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin, ancestry, sex, gender, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state, or local law.

Visit truecare.org to learn more! Health Inside. Welcome in! Salud Adentro. Bienvenido!