Senior Manager, Knox-Keene Compliance

Emploi pas sur LinkedIn

🕒 il y a 7 jours

🏄 California – Distant

🏄 California – Remote

💵 $110 000 - $130 000 / an

⏰ Temps Plein

🟠 Senior

🚔 Conformité

🦅 Parrain de Visa H1B

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TELUS

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1990

📡 Télécommunications

⚕️ Assurance santé

🔐 Sécurité

💰 €500 000 000 Post-IPO Debt en 2023-03

Telecommunications • Healthcare Insurance • Security

TELUS est une grande entreprise canadienne de télécommunications qui propose une large gamme de services, incluant des forfaits de réseau mobile, internet et télévision à travers des plateformes comme PureFibre et Optik TV. La société offre un vaste choix de produits mobiles tels que des téléphones, des montres connectées et des tablettes, ainsi que des packs internet et TV complets. TELUS se concentre également sur des services additionnels tels que la sécurité domestique intelligente et les solutions de santé, incluant des options de soins de santé virtuels. Elle opère dans diverses régions au Canada et s'engage dans des initiatives sociales telles que le soutien aux associations caritatives via la Fondation Avenir Amical de TELUS. Avec un fort accent sur la connectivité et des solutions innovantes, TELUS est un acteur clé dans le secteur des télécommunications, offrant des solutions technologiques de pointe à ses clients.

Description

• 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.

🎯 Exigences

• 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

🏖️ Avantages

• 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