Manages all regulatory audits and readiness activities; including mock audits, submission quality assurances, corrective action plan development, approval, and monitoring.
Manages and maintains relations with regulators. This includes reviewing regulatory inquiry trends, notices of non-compliance response, and self-disclosures of non-compliance issues to the regulators.
Develops and maintains productive relationships with all levels of management, staff, and external stakeholders. Conduct periodic enterprise training on prevention, detection, and correction of non-compliance including but not limited to: compliance program effectiveness, regulatory audits, root cause analysis, corrective action plans, and regulatory submissions.
Manages all regulatory reports and internal compliance reports. Designs and implements report quality assurance processes to ensure timely, complete, and accurate submissions. This includes, but is not limited to, periodic live system reviews and data validation tests. Documents and maintains regulatory reporting matrices and report submissions. Communicates regulatory reporting requirements to the organization. Facilitates cross-functional work groups to ensure regulatory reporting processes are developed, documented, and reviewed by all stakeholders.
Ensures organizational compliance with regulatory requirements and effectively communicate to L.A. Care staff, external contacts and regulatory agencies; Builds relationships with regulatory agencies to communicate compliance activities and deliverables.
With the Chief Compliance Officer, organize the Internal Compliance Committee (ICC), including developing appropriate agendas, reports, and information requested by the committee and/or Board.
Designs and implements goals and programs that demonstrate strategic thinking focused on achieving operational excellence within the department and with external business partners.
Prepares and presents periodic reports evaluating L.A. Care’s compliance performance to the leadership team, compliance committee, Chief Executive Officer (CEO) and Board of Directors.
Perform other duties as assigned.