Sr. Manager, Compliance

Job Number: 1356

Workplace Type:

Position Title: Senior Manager, Compliance

External Description:

Alignment Healthcare is seeking a seasoned Compliance Senior Manager to build and manage strategic partnerships with internal business units toward a common goal of enterprise wide compliance excellence.  The Compliance Senior Manager will report to the Chief Compliance Officer and will have a diverse range of responsibilities associated with interpretation of state and federal regulations related to health care and Medicare Advantage Plans, improving collaboration and other aspects of embodying a culture of compliance. This is a challenging role which requires a smart, energetic and determined individual with a true passion for creating, implementing and managing strategic compliance initiatives.

 

Responsibilities

• Drive/support AHP’s operational compliance programs and initiatives to identify and mitigate risk-assessed compliance priorities. Build capacity and capability to work across multiple areas of compliance.
• Design and perform comprehensive and independent audits and reviews of critical elements of AHP’s compliance work plan; propose and drive implementation of practical solutions to enhance the program, as applicable
• Develop and execute plans to raise business awareness at the appropriate level of compliance issues. Facilitate ongoing communication with business teams.
• Ensure timely and adequate resolution of Corrective Action Plans
• Use influencing skills to help gain buy-in from business owners on new processes and procedures
• Drive continuous improvement and standardization across all projects
• Build and maintain strong business relationships, working to partner cross-functionally to understand and address needs and roadblocks and facilitate change as appropriate.
• Collaborate with AHP’s Delegation Oversight monitoring and auditing resources to create appropriate monitoring and auditing plans, remediation and to support investigations.
• Ensure the CMS FTEAM Universe is properly updated and accurate

 
Key Competencies

• Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions, including a high level of precision in work.
• Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts compliance and Alignment Healthcare's overall success first.
• Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
• Interpersonal Effectiveness: Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.

 

Qualifications

• Must have a BS/BA degree
• 7 years experience in a risk, regulatory, audit, with strong preference for experience in the Healthcare industry.
• Strong communications and presentation skills, with superb ability to drive change
• Extensive knowledge and experience in operationalizing compliance programs; ability to independently design and build meaningful dashboards and metrics to drive process rigor
• Experience building and executing risk assessments and implementing corrective action and remediation plans, including partnering with the business to execute on remediations.
• Strong project management and prioritization skills, demonstrated ability to effectively manage multiple tasks and priorities and drive change across a complex organization and multiple stakeholders.
• Strong follow-up and attention to detail

 

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Sr. Manager, Compliance

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].