California Compliance Officer

Responsibilities

• Ensure compliance with state and federal regulations across the organization’s health plan operations
• Maintain and track applicable laws, regulations, and compliance documentation
• Develop policies and procedures to support legal and contractual requirements
• Administer compliance programs, including fraud prevention and HIPAA compliance
• Advise internal departments on regulatory compliance and contract language implementation
• Conduct audits and develop corrective action plans for compliance issues
• Build strategic relationships with state legislators regarding insurance and compliance policies

Qualifications

• Bachelor’s degree in Public Policy, Government Affairs, Business Administration, or a related field; Master’s or Law degree preferred
• 8+ years of experience managing compliance programs and contracts
• Extensive knowledge of state administrative codes, insurance laws, and managed care regulations
• Experience working with state and federal agencies and accreditation bodies
• Familiarity with HIPAA, Third Party Administration laws, and credentialing regulations

Benefits

• Comprehensive health insurance
• 401K and stock purchase plans
• Tuition reimbursement program
• Paid time off plus holidays
• Flexible work schedule options, including remote, hybrid, and office work