Healthcare Compliance Manager

Department: Compliance and Ethics
Position Type: Full-Time/Exempt
Location: Sacramento, CA/Hybrid
Travel: Occasional
Salary: $115,000 - $130,000 Annually

Drive Compliance. Strengthen Integrity.

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.

What You'll Do:

• 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

What You'll Bring:

• 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
• Professional certification such as Certified Healthcare Compliance (CHC) preferred
• 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

Western Health Advantage is committed to providing equal employment opportunities. (EOE)