Manager Finance Compliance

Location: Los Angeles, CA | Onsite

Start date: June 11, 2026 | $10,000 sign-on bonus

Applicants must be authorized to work for any U.S. employer; sponsorship is not available.

About the role

This position manages the financial audit team in ensuring delegates—such as plan partners, participating provider groups (PPGs), capitated hospitals, Specialty Health Plans, and vendors contracted with L.A. Care—adhere to contractual agreements, applicable laws and regulations, policies, and industry standards that provide medical, hospital, vision, dental, behavioral health, transportation, and telehealth services. The Manager is responsible for planning, executing, reporting, and monitoring financial solvency audits to meet the audit calendar and reporting requirements, as well as managing quarterly and annual financial analyses to ensure delegates remain financially solvent. The role also oversees the plan partners' oversight activities of their Medi-Cal provider network and manages all aspects of running an efficient, high-performance team.

Responsibilities

• Manage all financial solvency-related audits and monitoring activities in accordance with generally accepted auditing standards, GAAP, DMHC, DHCS, CMS, and other federal and state guidelines.
• Oversee all aspects of financial solvency reviews, including planning, execution, continuous monitoring, and reporting of annual financial audits, quarterly and annual financial analyses (ratio and trending analyses), and special projects.
• Manage staff, including day-to-day activities, performance monitoring, mentoring, training, cross-training, and handling staff questions or issues.
• Lead complex projects, engage and update key stakeholders, develop timelines, and ensure deliverables are completed on time.
• Ensure timely and accurate review of deliverables and compliance with regulatory and contractual requirements for plan partners, PPGs, capitated hospitals, specialty health plans, and vendors.
• Design, implement, and report on special projects such as Medical Loss Ratio.
• Develop and implement reports and tools for corrective action plan issuance and non-compliance notifications.
• Assess, communicate, and implement regulatory requirements that may impact internal processes.
• Collaborate and resolve financial solvency issues with interdepartmental personnel, key stakeholders, and delegates.
• Formalize key internal processes and monitoring tools with desktop procedures and applicable policies.
• Complete and review the financial audit team’s pre-delegation assessment and deliver monthly/quarterly request updates to various business units.
• Communicate and collaborate with cross-functional teams, senior leadership, and delegates.
• Plan and implement systems and procedures to maximize operating efficiency and achieve strategic priorities.
• Monitor and analyze membership data by delegates monthly to assign annual claim processing and financial solvency audits and ensure adherence to regulatory requirements.
• Manage complex financial solvency audits to ensure quality deliverables, resolve audit issues, and issue final audit reports.
• Request and follow up on Corrective Action Plans (CAPs) for non-compliant audit results.
• Develop, implement, and execute the audit program and procedures for updates and/or changes in agreements and applicable regulations.
• Oversee and review comprehensive financial analyses on a quarterly and annual basis to ensure compliance with financial solvency requirements; request and follow up on CAPs for non-compliant issues.
• Monitor plan partners’ audit and quarterly financial analysis of their Medi-Cal provider network.
• Communicate effectively with senior leadership on compliance matters from audits or quarterly financial statements analysis, including recommendations and corrective action plans.
• Maintain current company policies and procedures.
• Proactively identify opportunities and solutions to improve the effectiveness and efficiency of the financial audit function.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in Finance, Accounting, or a related field (equivalent education and/or experience may be considered).
• Master’s degree preferred.
• One of the following certifications: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Management Accountant (CMA), or Certified Fraud Examiner (CFE).
• At least 6 years of experience in financial auditing in the managed care industry.
• At least 4 years of experience leading, supervising, and/or managing staff.
• Proven experience in leading and managing audit teams.
• Significant experience in assessing, investigating, and auditing compliance risks.
• Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Skills

• Demonstrated ability to handle the growing population in the L.A. Care network and audit activities.
• Excellent verbal and written communication and presentation skills.
• Knowledge of relevant managed care regulations and audit methodologies.
• Strong analytical and problem-solving skills.
• Ability to interface professionally with internal and external customers at all levels of the organization.
• Self-motivated, detail-oriented, and able to prioritize assignments while working as part of a team.
• Knowledge of and ability to oversee the major responsibilities, accountabilities, and organization of the audit and compliance function.
• Ability to create, implement, evaluate, and enhance internal control processes.
• Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint).

Pay

$117,000–$152,000 per year (USD)

Benefits

• Medical, vision, and dental insurance plans
• 401k retirement fund