Senior Manager, Knox-Keene Compliance

Vaga não está no LinkedIn

🕒 5 dias atrás

🏄 California – Remoto

🏄 California – Remote

💵 $110.000 - $130.000 / ano

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

TELUS

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1990

📡 Telecomunicações

⚕️ Seguro de Saúde

🔐 Segurança

💰 $500.000.000 Post-IPO Debt em 2023-03

Telecommunications • Healthcare Insurance • Security

A TELUS é uma importante empresa canadense de telecomunicações que oferece uma ampla gama de serviços, incluindo planos de rede móvel, internet e serviços de televisão por meio de plataformas como PureFibre e Optik TV. A empresa oferece uma extensa variedade de produtos móveis, como telefones, smartwatches e tablets, além de pacotes completos de internet e TV. A TELUS também se concentra em serviços adicionais, como segurança residencial inteligente e soluções de saúde, incluindo opções de saúde virtual. Opera em várias regiões do Canadá e está comprometida com iniciativas de impacto social, como o apoio a instituições de caridade através da TELUS Friendly Future Foundation. Com forte ênfase em conectividade e soluções inovadoras, a TELUS é um ator chave no setor de telecomunicações, oferecendo soluções tecnológicas de ponta aos seus clientes.

Descrição

• Master the regulatory framework and align execution — Own all Knox-Keene compliance obligations to the California Department of Managed Healthcare (DMHC)—monthly, quarterly, and annual reporting, Plan Letters, and audit responses. • Ensure our policies, clinical network, and day-to-day operations align so we operate with regulatory confidence and zero penalties. • Translate data into strategic decisions — Use Power BI and advanced analytics to monitor compliance trends, forecast regulatory risks, and provide executive leadership with clear visibility into our compliance posture. • Evolve policy and operations together — Partner with clinical and policy teams to design, update, and implement Knox-Keene-related frameworks as we scale behavioral health and EAP delivery. • Anticipate regulatory changes and help the organization stay ahead. • Bring clinical judgment to critical decisions — Provide clinical insight on policy, investigations, and operational challenges. • Balance clinical excellence with regulatory requirements so innovation is built on compliance, not constrained by it. • Represent TELUS Health to regulators and leadership — Present compliance findings to our Board and Public Policy committees. • Participate in DMHC audits. • Strengthen TELUS Health's reputation as a trusted partner in California's healthcare ecosystem. • Partner across teams with clarity — Work with reporting, operations, clinical, and business development teams to align their work with regulatory requirements.

🎯 Requisitos

• Active, independent clinical license in California (LCSW, LMFT, LMHC, LPCC/LPC, Psy.D., or Ph.D.) • California residency (regulatory requirement) • 5+ years of healthcare compliance experience with hands-on Knox-Keene expertise and Technical Assistance Guide (TAG) familiarity • In-depth knowledge of California healthcare regulations and compliance requirements • Quality assurance mindset — understand that compliance is operational, not just paperwork • Data fluency (Power BI, Excel, analytics) • Strong written and verbal communication skills; board-level and regulator presentation experience • Strategic independence — you don't require hand-holding; you chart the best path forward • High attention to detail and commitment to accuracy • Adaptability to evolving regulatory frameworks and organizational growth • Collaborative leadership — build alignment with clinicians, operations leaders, executives, and regulators

🏖️ Benefícios

• Comprehensive total rewards package highlighting competitive salary and paid time off • Flexible benefits plan to meet the needs of you and your family • Generous company matched pension and share purchase programs • Opportunity to give back to communities in which we work, live and serve • Career growth and learning & development opportunities to develop your skills