Director, Compliance Delegation Oversight Clinical Auditing And Monitoring
LA Care Health Plan
Los Angeles, CA, US
Base: $135,136 - $216,218; bonus/equity: not speci...
On-site
Clinical delegation oversight
Managed care compliance
Audit program management
L.A. Care Health Plan is the nation’s largest publicly operated health plan serving more than 2 million members with a mission to provide access to quality health care for vulnerable and low-income communities in Los Angeles County
Job Summary
L.A. Care Health Plan is the nation’s largest publicly operated health plan serving more than 2 million members with a mission to provide access to quality health care for vulnerable and low-income communities in Los Angeles County.
The Director will provide strategic leadership for clinical delegation oversight, managing audit planning, execution, and reporting to ensure compliance with regulatory and contractual standards across multiple lines of business.
L.A. Care offers a comprehensive benefits package including Paid Time Off, Tuition Reimbursement, Retirement Plans, Medical, Dental and Vision coverage, Wellness Programs, and Volunteer Time Off.
Matching Summary
L.A. Care Health Plan is the nation’s largest publicly operated health plan serving more than 2 million members with a mission to provide access to quality health care for vulnerable and low-income communities in Los Angeles County.
Salary
Base: $135,136 - $216,218; Bonus/Equity: Not specified; Benefits: Paid Time Off, Tuition Reimbursement, Retirement Plans, Medical, Dental, Vision, Wellness Program, Volunteer Time Off
Skills & Requirements
Must-have
clinical delegation oversight
managed care compliance
audit program management
regulatory compliance knowledge
team leadership and supervision
corrective action plan oversight
Nice-to-have
strategic planning skills
relationship building with stakeholders
excellent communication skills
data analysis and decision making
adaptability to fast-paced environment
Key Requirements
Bachelor’s Degree in Nursing or Related Field
Master’s Degree preferred
7+ years managed care or clinical compliance experience