Manager, Compliance Monitoring

Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
 

Job Summary

The Manager, Compliance Monitoring serves as a leader within the Corporate Compliance Monitoring Department. This position provides leadership and oversight of compliance monitoring, focusing on the effective implementation of corrective action plans (CAPs) and the mitigation of compliance risks throughout the organization. A key component of the role is to enhance monitoring processes, ensuring that federal, state, contractual, accreditation, and internal Plan requirements are met consistently and accurately.

 

The primary responsibility of this role is to oversee the comprehensive monitoring of compliance activities, with particular attention to corrective action plans arising from regulatory or audit findings. By ensuring CAPs are effectively tracked, implemented, and mitigated, the role plays a crucial part in the resolution of non-compliance issues. The Manager collaborates with cross- functional business units essential in optimizing the success and sustainability of corrective actions, thereby enhancing the organization’s compliance posture.

 

The Manager advises and supports the senior management on other duties as assigned to support the mission and responsibilities of the Corporate Compliance Monitoring Department, and to support the mission and business operations of L.A. Care Health Plan.

 

The Manager manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.

Duties

Responsible for developing and implementing a comprehensive monitoring program to track and assess the effectiveness of corrective actions addressing identified deficiencies. Develops policies, procedures, and tools to ensure systematic and consistent monitoring throughout the organization. Maintains a centralized tracking system to document deficiencies, assign ownership, and establish clear timelines for resolution.

 

Responsible for developing and maintaining key performance indicators (KPIs) and monitoring systems to proactively detect compliance risks. Develops regulatory reports, summaries, and agendas to communicate to the Internal Compliance Committee (ICC) and the Compliance and Quality Committee of the Board of Governors, as needed. Prepares executive summaries and monitoring reports to share with L.A. Care business units.  Responsible for running and maintaining regular reports that includes dashboards, charts, and graphs.  Present reports to senior leadership and relevant committees.

 

Collaborate with key internal and external stakeholders and with cross-functional units/ departments to ensure cohesive monitoring of compliance across both delegated and non-delegated functions. Facilitates the preparation for internal and external regulatory audits, providing detailed data analyses of audit findings, addressing deficiencies, and ensuring corrective actions are tracked and completed effectively.

 

Manage staff, including, but not limited to hiring staff, monitoring of day-to-day activities of staff, monitoring of staff performance, performance reviews, mentoring, training, and cross training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, disciplinary matters for direct reports, among others.

Duties Continued

Lead, guide and mentor teams in the collection, analysis, and interpretation of compliance data. Ensure that staff are effectively trained, and cross-trained, while being empowered to suggest system and process enhancements.

 

Develop and timely revise policies and procedures, desktop manuals and other guidance for effective and efficient administration of team functions. Lead special projects as needed.

 

Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to