Snr Regulatory Affairs & Compliance Specialist PACE

On Lok PACE

We are a non-profit committed to our participants.

Dedicated to The Care of Elders:

PACE (Program of All-Inclusive Care for the Elderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in their community whenever possible.

Seniors their family members and caregivers face many issues including transportation to appointments management of medications coordination of medical care from different specialists lack of social interaction and ability to stay alone at home. On Lok PACE participants receive in home care services and transportation to a On Lok PACE center for primary medical care social and recreational activities and other senior care services.

We understand the importance of a system that works together. Your expertise drive and passion can help us carry out our mission to improve lives and advance healthcare.

Join our team of leaders to begin a rewarding career!

POSITION SUMMARY:The Senior Regulatory Affairs & Compliance Specialist is responsible for ensuring compliance with regulatory licensing and contractual requirements set forth by the Centers for Medicare and Medicaid Services (CMS) the California Department of Health Care Services (DHCS) and other regulatory agencies. This role provides advanced expertise and independent execution of regulatory compliance activities analysis and monitoring initiatives related to the Program of All-Inclusive Care for the Elderly (PACE). The individual serves as a subject matter expert and trusted advisor to cross-functional partners while influencing compliance practices and improvements across the organization.

DUTIES / RESPONSIBILITIES:

REGULATORY GUIDANCE & ANALYSIS

Monitors and reviews communications from CMS DHCS and other regulatory agencies.
Analyzes and interprets new or updated regulations identifies impact to PACE operations and translates requirements into actionable guidance.
Provides expert analysis on complex regulatory issues as they arise delivering timely guidance to leadership and teams.
Participates in regulatory training sessions webinars and calls and disseminates key takeaways internally.

POLICIES & PROCEDURES

Partners with internal departments to develop revise and review policies and procedures to ensure regulatory alignment.
Provides subject matter expertise to the Policies and Procedures Committee and coordinates the approval and dissemination of updated policies.

REGULATORY AUDITS & COMPLIANCE MONITORING

Represents the organization externally with regulators and auditors in a professional knowledgeable manner.
Serves as a key resource during external audits and site visits preparing documentation and universes.
Drafts corrective action plans and monitors follow-up activities in collaboration with impacted departments.
Conducts regulatory compliance monitoring reviews and assessments of internal and external processes identifying trends risks and areas for improvement.
Prepares reports and dashboards for management with clear recommendations.

REGULATORY REPORTS & FILINGS

Leads the preparation review and submission of routine and ad-hoc reports and filings. Performs quality checks on data and information prior to submission.
Advises departments on reporting requirements and ensures deadlines are met.

OTHER

Collaborates with departments across the organization to strengthen compliance culture and practices.
Oversees the accuracy and maintenance of compliance databases and repositories including regulatory communications and audit documentation.
Performs other regulatory compliance activities and initiatives as assigned by supervisor.

QUALIFICATIONS (knowledge skills abilities):

• Bachelors Degree in Healthcare Admin Business Admin Public Policy or a related field
• 5-10 years experience in progressive regulatory affairs or compliance experience in a managed care or healthcare environment.
• Demonstrated expertise with Medicare and Medicaid programs.
  
• In-depth knowledge of CMS DHCS and related regulatory frameworks.
  
• Strong analytical critical thinking and problem-solving skills.
  
• Exceptional attention to detail and time management.
  
• Ability to work independently while building trust and influence across departments.
  
• Proficiency with MS Office Suite (Word Excel PowerPoint) and Adobe Acrobat.
  
• Must be able to manage multiple deadlines in a fast-paced environment.

On Loks Employee Benefits include (eligible for any regular position for 20 hr/wk or more):

• Medical Dental and Vision coverage
• Retirement Savings Plan 403(b) and Term Life/AD&D Insurance
• Flexible Spending Account Commuter Checks MLA scholarships Employee Assistance Program (EAP)
• Pet Insurance and additional discounts
• Holidays (10 per year) vacation time sick leave and long-term disability insurance

Your final compensation offer will be determined based on factors such as skills experience education and licenses/certifications. The pay range is expressed as an hourly rate regardless of FLSA status. Exempt positions are paid salaried and are not subject to overtime.

Pursuant to the San Francisco Fair Chance Ordinance and state and federal laws (including federal PACE requirements at 42 CFR 460.64(a); 460.68(a) we will consider for employment qualified applicants with arrest and conviction records.

On Lok is an equal opportunity employer committed to a diverse and inclusive workforce. All applicants will receive consideration for employment without regard to sex (including pregnancy) race religion color gender gender identity gender expression sexual orientation national origin ancestry disability medical condition genetic information marital status age military or veteran status or any other legally protected status.

If you require reasonable accommodation to participate in the job application or interview process to perform essential job functions and/or to receive other terms privileges or benefits of employment please contact Talent ().

Required Experience:

IC