L.A. Care Health Plan · 17 hours ago
Senior Manager, Compliance Delegation Oversight Affairs
Los Angeles, CA
Full-time
Onsite
Senior Level
$118K/yr - $188K/yr
6+ years expL.A. Care Health Plan is the nation’s largest publicly operated health plan, established to provide health coverage to low-income residents of Los Angeles County. The Senior Manager, Compliance Delegation Oversight Affairs is responsible for managing the Compliance Department’s communication and engagement with delegated entities, ensuring compliance with regulatory expectations and overseeing a team to mitigate risks across the delegated network.
FitnessGovernmentHealth Care
Responsibilities
Provide strategic leadership to the Compliance Delegation Oversight Affairs team as the communication arm of the program, ensuring delegate-facing compliance engagement and correspondence align with regulatory expectations and oversight priorities
Plan and implement systems and procedures to maximize operating efficiency and achieve strategic priorities. Provide strategic direction and leadership to the team, ensuring alignment with organizational goals and objectives
Manage staff and the day-to-day activities in the department. Participates in the department budgeting process. Responsible for scheduling, training, performance, corrective actions, mentoring, developing of the team(s). Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Mentors and develops staff, building technical and critical thinking skills across the team
Responsible for overseeing and managing the budgets of their respective departments
Oversee delegate-facing compliance engagement and documentation management. Develop and maintain standardized tools and workflows for issuing and tracking key communications such as Notices of Non-Compliance (NONCs), Corrective Action Plans (CAPs), and other regulatory correspondence
Drive active delegate engagement through routine compliance touchpoints, using tools and staff interactions to spot trends, emerging risks, and communication gaps. Ensure insights from these engagements feed back into monitoring and oversight activities
Responsible for Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions
Ensure timely, accurate, and defensible documentation of oversight communications. Champion process improvements that strengthen transparency, accountability, and coordination across the delegated network
Manage the rollout of new compliance communication protocols, regulatory updates, and oversight frameworks impacting delegated entities. Lead change management efforts that enhance coordination between L.A. Care Compliance and delegate Compliance teams, ensuring consistent understanding and adoption of regulatory requirements
Manage complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval
Plan and implement systems and procedures to maximize operating efficiency and achieve strategic priorities. Design and implement training, outreach, and communication strategies to build awareness and readiness across both internal and external stakeholders. Serve as a key facilitator in implementing new regulatory expectations and process improvements affecting oversight communication and audit readiness
Implements and provides guidance to the departmental and organizational processes and policies and works with senior and/ or executive management to define, prioritize, and develop projects and programs
Lead inter-departmental collaborations, committees, and facilitating discussions to achieve cross-functional alignment. Prepare, support, and deliver engaging presentations, reports, and data-driven recommendations in various settings. Serve as a key liaison between departments, fostering seamless communication and collaboration for successful execution of initiatives
Stay at the forefront of regulatory changes and industry leading practices, analyzing and being a change agent to drive L.A. Care and Delegate’s implementation of new and revised applicable regulations, laws, and sub-regulatory guidance from state and federal agencies
Oversee all regulatory and/or compliance communications to delegated entities, ensuring timely distribution, coordination, and documentation across Compliance Delegation Oversight units. Partner with internal teams to track, escalate, and close issues identified through monitoring, audits, or delegate self-reporting. Serve as the central coordination point for all regulatory related communications and delegate oversight correspondence, maintaining consistency, traceability, and defensibility. Ensure organized, auditable records and timely follow-up with internal leadership, regulators, and delegate compliance teams to support transparency and accountability across the oversight program
Leverage data analytics and emerging technologies to optimize processes and enhance decision-making capabilities. Drive the adoption of technology solutions to automate compliance tracking, reporting, and operational processes, ensuring scalability and repeatability in execution
Ensure adherence to organizational, contractual, regulatory, and accreditation standards relevant to the team's functions. Implement and maintain robust quality assurance processes that consistently meet and exceed compliance requirements, ensuring all operations align with the latest regulatory guidelines and best practices
Performs other duties as assigned
Qualification
Required
Bachelor's Degree in Healthcare Administration or Related Field
At least 6 years of healthcare experience in designing, redesigning, and implementing compliance programs, policies, and managed care operations, including Medicare, Medicaid, and commercial health plans
At least 4 years of experience leading, supervising, and/or managing teams and staff, with a strong focus on coaching and mentoring to ensure adoption of leading practices in industry tools, technology, and compliance approaches
Proven experience in change management and operational process improvement, focused on driving sustainable, repeatable processes through well-defined process maps, robust governance structures, and comprehensive supporting documentation to ensure long-term implementation success
Proven experience identifying and managing regulatory and compliance risks, issues, developing corrective action plans, and implementing compliance oversight systems to track issues through remediation
Experience working with regulatory agencies and cross-functional teams to align compliance initiatives with broader organizational goals
Experience leveraging technology to enhance compliance tracking, reporting, and operational processes
Proven experience with Governance, Risk, and Compliance (GRC) tools and collaborative tools to manage projects, perform analytics, and scale processes
Extensive experience in creating executive-level reports and analyzing data using Microsoft applications such as Microsoft office Suite, SharePoint, Smartsheet, Tableau, Alteryx/SQL, and/or other applicable tools
Strong ability to align delegation practices with organizational goals and long-term vision
Skilled in generating regular compliance reports for executive leadership and using data-driven insights to drive continuous improvements
Proven ability to develop scalable compliance strategies that mitigate risks, optimize processes, and ensure regulatory adherence across complex healthcare environments
Strong expertise in developing, redesigning, and implementing compliance programs, policies, and practices within healthcare organizations
Demonstrated ability to engage with regulators, auditors, and external stakeholders to ensure compliance transparency and ongoing success
Proven ability to drive team performance, foster professional development, and align staff with organizational objectives
Skilled in integrating technology solutions into compliance programs to improve overall effectiveness and scalability
Proven ability to interpret and implement complex regulations, ensuring organizational adherence and mitigating compliance risks
Advanced Knowledge of regulatory compliance and regulations across multiple lines, including Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), and other governing bodies
Strong background in managed health plan/managed care business operations, including Medicare, Medicaid, and commercial regulations
Demonstrated ability to stay organized, manage multiple projects simultaneously, and utilize project management tools to ensure teams are aligned, deadlines are met, and goals are achieved efficiently
Proven ability to coach, mentor, and train teams, fostering skill development, growth, and high performance
Skilled in leading change management initiatives that drive operational improvements, sustainability, and process efficiencies
Advanced ability to design and implement process maps, policies, procedures, and tools that improve operational efficiency and scalability
Strong focus on leveraging data and technology to optimize processes, analyze performance, and drive decision-making
Proficient in collaborative and reporting tools such as SharePoint, Smartsheet, Tableau, Alteryx, and SQL for data analysis, reporting, and process optimization
Adept at presenting complex data insights clearly and concisely to support informed decision-making at the leadership level
Skilled in using advanced Microsoft tools for data visualization, analysis, and reporting to drive strategic initiatives
Adept at designing scalable processes that drive efficiency and long-term success
An initiative-taker who thrives in fast-paced, ever-changing environments, known for innovation and adaptability
Strong people skills for building relationships, fostering teamwork, and creating a positive work environment
Strong attention to detail and ability to manage multiple priorities and tight deadlines
Ability and exceptional knowledge in developing and managing budgets, forecasting future financial outcomes, and making informed decisions about resource allocation
Demonstrated ability to make informed decisions
Strong verbal, written communication, and presentation skills
Strong ability and knowledge to analyze market trends, anticipate future changes, and develop long-term strategies that align with the company's goals
Preferred
Master's Degree in Healthcare Administration or Related Field
Experience in healthcare consulting or relevant advisory experience, with a track record of delivering scalable and innovative solutions in dynamic environments and recognized as a strong collaborative partner who works effectively across teams and functions
Certified HealthCare Compliance (CHC)
Certified in Healthcare Compliance Fellow (CHC-F)
Certified Compliance & Ethics Professional (CCEP)
Project Management Professional (PMP)
Lean Six Sigma Green Belt
Lean Six Sigma Black Belt
Benefits
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)
Company
L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Melanie Rainer
Chief Strategy and Transformation Officer
Recent News
2026-01-17
MarketScreener
2025-08-27
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