Manager Regulatory Compliance. Insurance Services

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profile Job Location:

Fresno, CA - USA

profile Monthly Salary: Not Disclosed
Posted on: 2 days ago
Vacancies: 1 Vacancy

Job Summary

Overview

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
  • Eligible for annual incentive program
  • Community University leadership training courses
  • Tuition reimbursement educationprogramsand scholarships
  • Vacation time starts building on Day 1 and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities

As Manager Regulatory Compliance you identify as an agent of change committed to helping drive improvement outcomes and standing by decisions in the interest of Community; the popular and the unpopular. Collaboration across our healthcare system in the name of quality patient experiencescomes second natured.
The Regulatory Compliance Manager for Community Care Health will be responsible for overseeing and managing regulatory compliance including assisting with the regulatory audit functions. We are looking for a detail-oriented team member to facilitate leadership and vision for the program. From developing and modifying policies and procedures to meeting deadlines and submitting filings developing and maintaining relationships with stakeholders and state regulators you will be an integral advocate for our health plan.

Qualifications

Education:Bachelors Degree(or equivalent combination of education and experience).

Professional Experience: 5 years in a professional healthcarecompliance role.

  • Key Requirement: Experience with California healthplanregulatory compliance is highly preferred.
  • Technical Skills:Proficiencyin Microsoft Office Suite (Word Excel and PowerPoint) is essential for creating presentations and managing large data files.
  • Writing Skills: Must be a strong clear and concise writer for drafting policies procedures and formal responses to the Department of Managed Healthcare (DMHC).
  • Attention to Detail: Critical for cataloging audit documents revising evidence of coverage (EOC) versions and managing Timely Access Reports.
Licenses and Certifications
  • NATIONAL - National Certification related to specialty and applicable to role (healthcare audit fraud or compliance) preferred

Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.


Required Experience:

Manager

OverviewOpportunities for you!Consecutively recognized as a top employer by Forbes and in 2025 by NewsweekEligible for annual incentive programCommunity University leadership training coursesTuition reimbursement educationprogramsand scholarshipsVacation time starts building on Day 1 and builds with...
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About Company

Community Health System provides a world of opportunities for professional growth and personal advancement. You love what you do, now love where you do it!

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