The Compliance Advisor I is responsible for assisting in the design and implementation of complex compliance projects and activities in support of L. A. Care’s Compliance Program effectiveness by providing timely completion of requests and supports and/or leads projects, as assigned. Duties Designs and implements complex compliance project and activities as well as performs project management. Assists with compliance quality assurance and monitoring efforts. Carries out projects in support of th... more details
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Compliance Advisor I is responsible for assisting in the design and implementation of complex compliance projects and activities in support of L.A. Care’s Compliance Program effectiveness by providing timely completion of requests and supports and/or leads projects, as assigned.
Duties
Designs and implements complex compliance project and activities as well as performs project management. Assists with compliance quality assurance and monitoring efforts. Carries out projects in support of the organization’s Compliance Program and regulatory submissions. This involve data validation, quality assurance, and working with cross-functional teams.
Supports Compliance management on compliance special projects and in the compilation and distribution of routine compliance correspondence and reports.
Manages administrative activities related to the regulatory compliance activities. Plan and organize meetings and/or events to include developing meeting summaries/minutes, issues logs, etc.
Conduct research on regulatory requirements. Expand working knowledge of federal and state requirements, accreditation standards, and/or contractual requirements and assist in accomplishing full compliance.
Perform other duties as assigned.
Duties Continued
Education Required
Associate's Degree in Business Administration or Healthcare Related Field
In lieu of degree, equivalent education and/or experience may be considered.
Education Preferred
Bachelor's Degree in Business Administration or Healthcare Related Field
Experience
Required: At least 0-2 years of project coordination experience in compliance in a managed care setting working with a MCO and managing reports/projects mandated by regulatory requirements.
Skills
Required: Ability to manage multiple priorities and projects to meet deadlines.
Excellent verbal and written communication skills.
Strong working knowledge of Microsoft Office programs and ability to develop various templates.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Light
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
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