Senior Manager, Knox-Keene Compliance

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $110k - $130k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

TELUS

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1990

📡 Telecommunications

⚕️ Healthcare Insurance

🔐 Security

💰 $500M Post-IPO Debt on 2023-03

Telecommunications • Healthcare Insurance • Security

TELUS is a major Canadian telecommunications company that provides a wide range of services including mobile network plans, internet, and television services through platforms like PureFibre and Optik TV. The company offers an extensive array of mobile products such as phones, smartwatches, and tablets, alongside comprehensive internet and TV bundles. TELUS also focuses on additional services like smart home security and healthcare solutions, including virtual healthcare options. It operates across various regions in Canada and is committed to social impact initiatives, such as supporting charities through the TELUS Friendly Future Foundation. With a strong emphasis on connectivity and innovative solutions, TELUS is a key player in the telecommunications sector offering cutting-edge technology solutions to its customers.

📋 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.

🎯 Requirements

• 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

🏖️ Benefits

• 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