L.A. Care Health Plan · 11 hours ago
Senior Director, Compliance Delegation Oversight
Los Angeles, CA
Full-time
Onsite
Director/Executive
$150K/yr - $254K/yr
8+ years expL.A. Care Health Plan is the nation’s largest publicly operated health plan, providing health coverage to low-income Los Angeles County residents. The Senior Director, Compliance Delegation Oversight is responsible for leading the overall Delegation Oversight strategy, ensuring compliance with contractual and regulatory requirements, and driving organizational change through effective oversight of delegated functions.
FitnessGovernmentHealth Care
Responsibilities
Conduct strategic planning to utilize resources in order to meet current and future departmental and Enterprise-wide goals
Provide enterprise leadership of Delegation Oversight governance, including strategy, frameworks, and alignment with state and federal requirements
Direct oversight of compliance monitoring and auditing for delegated entities, ensuring gaps, risks, and deficiencies are identified, escalated, and addressed through corrective action and sanctions where appropriate, while collaborating and coordinating with functions not directly in scope for this role when those functions hold oversight responsibility
Chair executive governance forums (e.g., Delegation Oversight Committee(s)) to ensure cross-functional accountability and transparent reporting to executive leadership and the Board
Leads discussions on policy operationalization and oversees key policy perspective sharing
Develop and maintain L.A. Care’s Delegation Oversight Sanctioning framework and other compliance standards in partnership with Legal and business stakeholders
Collaborate with business owners to support effective remediation of delegate deficiencies, while ensuring Compliance retains oversight authority rather than executing operational responsibilities
Identify opportunities for operational improvements, create and implement new policies, and ensure that products and services meet customer and organizational requirements
Help lead/coordinate the escalation and reporting processes to regulators, ensuring timely, accurate responses
Lead staff and managers/directors, fostering a high-performing compliance culture with accountability for timely audits, monitoring, reporting, escalations and closure of corrective action plans
Partner with other high-level supervisors and cross-functional teams to drive large-scale company changes and align resources with business objectives
Provide strategic analysis to executive leadership and/or Board committees regarding delegate performance, risk exposure, and sanctions activity, leveraging dashboards and metrics
Collaborate with cross-functional teams to achieve common goals
Represent Compliance in enterprise projects and system implementations (e.g., GRC) to ensure Delegation Oversight requirements are embedded
Prepare and approve budgets, manage financial investments and resources, and monitor performance data to track productivity and profitability
Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees
Perform other duties as assigned
Qualification
Required
Bachelor's Degree
At least 8 years of progressively responsible experience in health care compliance, managed care, or related field
At least 6 years of experience in leading, supervising and/or managing staff
Experience leading teams, projects, initiatives, or cross-functional groups
Strong ability and knowledge in Compliance
Strong analytical and critical thinking skills with the ability to research issues and guide resolution
Proven ability to lead large-scale, cross-functional projects while collaborating effectively with diverse stakeholders inside and outside the organization
Demonstrated skill in navigating ambiguity, developing adaptive plans, and making sound decisions that guide others
Excellent written and verbal communication skills, including preparation of clear, effective Board-level materials and executive reporting
Strong governance and committee leadership capabilities
Strategic thinker with experience in designing and implementing enterprise-wide compliance strategies and initiatives
Demonstrated ability to drive organizational and culture change and influence enterprise priorities
Experience in developing and mentoring staff, building high-performing teams, and cultivating compliance leadership talent
Strong leadership, organizational, and program/project management skills, with high business acumen
Ability to collaborate and work cross-functionally while balancing compliance requirements with operational realities
Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment
A strong aptitude for analyzing data, identifying challenges, and implementing effective solutions
Preferred
Master's Degree in Public Health or Related Field
Certified HealthCare Compliance (CHC)
Certified in Healthcare Compliance Fellow (CHC-F)
Certified Compliance & Ethics Professional (CCEP)
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
Company data provided by crunchbase