Compliance Director - Healthcare jobs in Concord, CA
Compliance Director - Healthcare designs and implements programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Builds and maintains programs to ensure compliance with federal, state, and local regulations. Being a Compliance Director - Healthcare directs the collection and analysis of data to meet compliance requirements. Requires a bachelor's degree. Additionally, Compliance Director - Healthcare typically reports to top management. The Compliance Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Compliance Director - Healthcare typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Recently Added Compliance Director - Healthcare jobs
Health Plan Director of Compliance and Government Regulations
- County of Contra Costa
-
Martinez, CA
FULL_TIME
-
Why Join Contra Costa County Health Services?
The Contra Costa Health Services Department is recruiting for one (1) qualified candidate interested in the Health Plan Director of Compliance and Government Regulations position assigned to the Contra Costa Health Plan (CCHP) located in Martinez, CA.
The Health Plan Director of Compliance and Government Regulations will be responsible for providing compliance direction, developing strategies, developing action plans, advising the application of statutes and regulations that are relevant to CCHP’s business activities, and acting as the primary leader for all compliance matters.
Here are several noteworthy accomplishments that CCHP gained recognition over the last 50 years:
- California County Sponsored Medi-Cal Contract
- Sponsored plan in the nation to have Medicare
- Knox Keene Licensed Federally Qualified HMO
- Only Medi-Cal Managed Care Plan integrated into a health delivery system in the county
- Medi-Cal Managed Care Plan with 24/7 Advice Nurse Operations
- Staying power in the community – 50 years of serving low-income populations in Contra Costa County
- Quality accreditation by the National Committee on Quality Assurance (commendable in several quality areas)
- National Affiliation of Community Health Plan selected CCHP for the Childhood Obesity Program
We are looking for someone who:- Understands the complexities of health plans and Managed Care.
- Is knowledgeable in administering rigid government contracts.
- Can interpret California Health & Safety Codes.
- Is well organized and can track sanctions and legal processes.
- Understands quality assurance, internal auditing, and oversight of corrective action plans, and can lead a team of clinical and non-clinical leaders.
What you will typically be responsible for:- Enforcing compliance rules for Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS), and other regulatory agencies.
- Serving as a representative for all departments providing accurate guidance for regulatory compliance issues.
- Overseeing and managing the Fraud Waste and Abuse program, as well as connecting with the health delivery system.
- Uploading documentation to regulator portals for reporting in a timely manner.
- Working with the Medical Directors on Member Appeals and State inquiries to ensure Contra CCHP’s operations are meeting state laws.
A few reasons why you might love this job:- We offer fantastic and competitive health benefits, paid vacation/sick/personal/admin time, and a great retirement plan!
- You will have the opportunity to lead and design new health care policies to improve the quality of life for vulnerable populations.
- You will learn a new delivery system that impacts 14 million lives state-wide.
- Contra Costa County offers a hybrid schedule (in office / work from home), based upon the manager’s discretion.
A few challenges you might face in this job:- CCHP is a highly regulated environment.
- There will be complaints, grievances, and appeals filed by Health Plan members that must be addressed in a timely manner.
- California Advancing and Innovating Medi-Cal (CalAIM) is a major transformation of Medi-Cal with a 5-year aggressive plan.
- There will be constant changes in our managed-care environment.
Competencies Required:- Building & Maintaining Relationships: Establishing rapport and maintaining mutually productive relationships
- Delivering Results: Meeting organizational goals and customer expectations and making decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks
- Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results
- Leadership: Guiding and encouraging others to accomplish a common goal
- Leading Cross-Divisional Collaboration: Demonstrating cooperation and teamwork while working within and across divisions and teams
- Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
- Managing Organizational Complexity: Maneuvering through complex political situations and functions within the organization
- Professional Integrity & Ethics: Displaying honesty, adherence to principles, and personal accountability
- Self-Management: Showing personal organization, self-discipline, and dependability
- Strategic Thinking & Perspective: Evaluating immediate actions in context of achieving long range objective
To read the complete job description, please click here. The eligible list established from this recruitment may be used to fill future openings for up to 6 months.Experience: Two (2) years of full-time (or its equivalent experience) in a health care industry with responsibility for regulatory compliance and anti-fraud activities.
Education: Possession of a bachelor's degree from an accredited college or university with a major in business administration or a closely related field.
Desirable Qualifications:- Candidates with a Master’s Degree or higher and who have experience in regulatory affairs are strongly encouraged to apply.
- Experience in a public sector environment.
- Experience in a Managed Care setting.
- Application Filing and Evaluation: Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
- Remote Oral Interview: Candidates that meet the minimum qualifications will be invited to participate in a remote oral interview. The assessment will measure candidates' competencies as they relate to the job. In the assessment, candidates must achieve an average passing score of 70% or higher on each of the competencies and an overall passing score of 70% or higher. These may include, but are not limited to: Delivering Results, Legal & Regulatory Navigation, Managing Organizational Complexity, Professional Integrity & Ethics, and Strategic Thinking & Perspective. (Weighted 100%)
The assessments may be administered remotely using a computer or mobile device such as a tablet. You will need access to a reliable internet connection to take the assessment.TENTATIVE EXAM DATESRemote Oral Interview: April 29 – May 2, 2024For recruitment questions, please contact Health Services Personnel, Recruitment Team at Exams@cchealth.org. For any technical issues, please contact the Government Jobs’ applicant support team for assistance at 1 855-524-5627.The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.CONVICTION HISTORYAfter you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources Department will contact you to schedule a fingerprinting appointment.DISASTER SERVICE WORKERAll Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.EQUAL EMPLOYMENT OPPORTUNITYIt is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law. - Just Posted
Site Safety and Health Officer - Concord CA
- Compliance Systems Management
-
Concord, CA
FULL_TIME
- SSHO- Military Ocean Terminal Concord CA Start date: Project begins in October Duration: Project scheduled to go through August 2024 Compensation: Hourly pay ($55-65/hr) Per Diem available if travelin...
- 14 Days Ago
Director of Nursing
- Blize Healthcare
-
Hercules, CA
FULL_TIME
- Our home health and hospice agency is currently seeking to fill an Assistant Director of Nursing (ADON) position. This position calls for a Registered Nurse with at least one year of home health or ho...
- 14 Days Ago
Interim Leadership Manager / Director Director of Case Management
- Aya Healthcare
-
Antioch, CA
FULL_TIME,CONTRACTOR,TEMPORARY
- Aya Healthcare has an immediate opening for the following position: Director of Case Management Manager / Director in Antioch, California. This is a 13-week contract position that requires at least on...
- Just Posted
Interim Leadership Manager / Director Director of Perioperative Services
- Aya Healthcare
-
Antioch, CA
FULL_TIME,CONTRACTOR,TEMPORARY
- Aya Healthcare has an immediate opening for the following position: Director of Perioperative Services Manager / Director in Antioch, California. This is a 13-week contract position that requires at l...
- 1 Month Ago
Program Director (Medical Assistant)
- VBeyond Healthcare
-
Concord, CA
FULL_TIME
- Job Title: Program Director for Medical Assistant Location: Concord, CA Summary: Our award-winning client is seeking a Program Director for a Medical Assistant to join their team. In this critical rol...
- 10 Days Ago
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0 Compliance Director - Healthcare jobs found in Concord, CA area
Chief Program Officer
- Bay Area Community Resources (bacr)
-
Oakland, CA
- Overview: The CPO is an integral member of the BACR Executive Team and is responsible for the smooth-running operations,...
- 4/18/2024 12:00:00 AM
Senior Vice President, Real Estate Management (8912 - Corporate) **Hybrid-Remote Position**
- EAH
-
San Rafael, CA
- Explore a career at EAH Housing. Start or continue a career in real estate development and management with EAH Housing. ...
- 4/18/2024 12:00:00 AM
Senior Compliance Manager
- East Bay Asian Local Development Corporation (ebaldc)
-
Oakland, CA
- Emphasizing our historic and continuing commitment to Asian and Pacific Islander communities, theEast Bay Asian Local De...
- 4/18/2024 12:00:00 AM
Chief Program Officer
- Bay Area Community Resources (BACR)
-
Oakland, CA
- Overview: The CPO is an integral member of the BACR Executive Team and is responsible for the smooth-running operations,...
- 4/17/2024 12:00:00 AM
Licensed Customs Broker
- Great Way Trading & Transportation
-
Union City, CA
- Great Way is looking for an experienced licensed broker to direct the daily operation of its brokerage department - Grea...
- 4/17/2024 12:00:00 AM
Program Director
- Crestwood Behavioral Health
-
Vallejo, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/17/2024 12:00:00 AM
Clinical Director - LMFT, LCSW, Clinical Psychologist
- Crestwood Behavioral Health
-
Vallejo, CA
- Job Description Job Description Are you looking for a meaningful role in behavioral health and have the desire to work w...
- 4/17/2024 12:00:00 AM
Compliance Specialist (South Bay - 8912) **Hybrid Remote Position**
- EAH
-
San Rafael, CA
- Explore a career at EAH Housing. Start or continue a career in real estate development and management with EAH Housing. ...
- 4/14/2024 12:00:00 AM
About Concord, California
Concord (/ˈkɒŋkərd/ KON-kord) is the largest city in Contra Costa County, California. At the 2010 census, the city had a population of 122,067 making it the 8th largest city in the San Francisco Bay Area. Founded in 1869 as the community of Todos Santos by Salvio Pacheco, the name was changed to Concord within months. The city is a major regional suburban East Bay center within the San Francisco Bay Area, and is 29 miles (47 kilometres) east of San Francisco.
Concord is located at 37°58′41″N 122°01′52″W / 37.97806°N 122.03111°W / 37.97806; -122.03111. It is 29 miles (47 kilometres) northeas...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Director - Healthcare jobs
$151,772 to $219,084
Concord, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Compliance Director - Healthcare do?
Compliance Director - Healthcare in Pensacola, FL
There are seven elements to healthcare compliance defined by the Office of Inspector General (OIG).
December 22, 2019
Compliance Director - Healthcare in Indianapolis, IN
Compliance and Training go hand in hand,” Wendy explained.
December 10, 2019
Compliance Director - Healthcare in Great Falls, MT
One substantial risk in today’s competitive environment is that providers must routinely enter into contractual agreements with key physicians to deal with the demands of population-based healthcare and the competitive healthcare landscape.
February 04, 2020