Compliance Manager

LSMA Management Inc • San Bernardino, CA

4h • Hybrid

About The Position

The Compliance Manager serves as the primary operational lead responsible for the day-to-day execution and sustainability of the organization’s compliance program across a healthcare MSO and its affiliated entities in California. This role provides second-line oversight of operational audit programs and ensures ongoing compliance with federal and state healthcare regulations.
Acting as the program’s “assurance” lead, the Compliance Manager is responsible for validating that key operational functions—including Medical Management, Credentialing and Claims—are meeting delegated audit and compliance obligations. This role is critical to maintaining program defensibility, mitigating regulatory risk, and enabling the Director of Regulatory Compliance to focus on enterprise strategy.
The Compliance Manager partners cross-functionally with Legal, Regulatory, Privacy, Quality, and Operations to implement compliance initiatives, manage risk, and support audit readiness.

Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, Business Administration, or a related field.
• At least eight years of healthcare compliance or regulatory experience.
• Experience in California healthcare environment.
• Strong knowledge of California and federal healthcare regulations (e.g., NCQA, Knox-Keene/DMHC, HIPAA, Covered California, CMS)
• Ability to interpret regulations and health plan contracts and translate into operational processes
• Excellent interpersonal skills, ability to develop relationships with stakeholders; a solutions-oriented collaborator
• Strong analytical, organizational, and problem-solving skills
• Experience managing audits, investigations, and compliance workflows
• Ability to manage multiple priorities and deadlines in a fast-paced environment
• Ability to work independently and provide detail oriented, precise and meticulously reviewed work product
• Effective communication and cross-functional collaboration skills
• Exhibits professional maturity, confidence and competence in daily business interactions
• High level of integrity, discretion, and professional judgment

Nice To Haves

• Master’s degree (MSN, MBA, MHA, MPH) or equivalent advanced education.
• Experience in California’s managed care, medical group, IPA, MSO, or health plan environment.
• Professional certification (e.g., CHC – Certified in Healthcare Compliance)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager