Healthcare Compliance Manager

Western Health Advantage•Sacramento, CA

6d•$115,000 - $130,000•Hybrid

About The Position

Western Health Advantage is seeking a Compliance Manager to lead the day-to-day operations of the Compliance and Ethics Department. In this role, you will oversee auditing, monitoring, regulatory reporting, and compliance initiatives while serving as a subject matter expert on Knox-Keene and DMHC requirements. You will partner closely with internal leaders to ensure regulatory alignment, mitigate risk, and support a culture of integrity and accountability across the organization.

Requirements

Bachelor’s degree in Compliance, Healthcare Administration, Legal/Regulatory Affairs, or a related field
5+ years of experience in healthcare compliance, regulatory, auditing, or governance roles
Strong knowledge of regulatory frameworks including NCQA, Knox-Keene, HIPAA, Covered California, and related requirements
Experience leading compliance initiatives, audits, and regulatory filings
Strong leadership, communication, and analytical skills
Ability to manage multiple priorities and collaborate across departments
Proficiency with standard business applications

Nice To Haves

Professional certification such as Certified Healthcare Compliance (CHC) preferred

Responsibilities

Oversee daily operations of the Compliance and Ethics Department, including auditing, monitoring, and training
Lead regulatory filings and reporting, including DMHC, HIOS, and SERFF submissions
Serve as a subject matter expert on compliance requirements, including Knox-Keene and DMHC regulations
Partner with internal teams to interpret and implement new regulatory requirements
Oversee internal and external audits and track corrective actions
Supervise Compliance Analysts and support team development and performance management
Lead compliance-related communications, including newsletters, manuals, and publications
Support development of departmental strategies, performance tracking, and business planning
Monitor and respond to hotline reports, escalating and analyzing compliance concerns as needed
Participate in cross-functional initiatives and represent compliance in organizational projects
Ensure adherence to WHA’s Privacy and Information Security programs and regulatory requirements
Maintain confidentiality and uphold compliance with HIPAA and other privacy standards
Perform other duties and special projects as assigned