Organization: Health Plan of San Mateo
Location: South San Francisco, CA
Date Job Posted: January 10, 2020
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The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Compliance Manager to promote and ensure compliance with various requirements, including but not limited to contractual and regulatory obligations, through the design and implementation tools, processes and systems to prevent, detect and deter non-compliance. The Compliance Manager focuses on risk based and peer informed activities that protect HPSM’s reputation, ensure high quality and integrity of business operations, and ensure HPSM is able to meet its mission and vision.
The essential duties and responsibilities will include the following:
Education and Experience: Bachelor’s Degree in public health, policy, or administration; advanced degree preferred. Five (5) or more years related experience in government programs, particularly Medicare and in managed care environment. Minimum of two years supervisory experience.
Knowledge of: Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, and PowerPoint. Managed care and strong familiarity with the health care field. Regulatory and or compliance processes impacting managed health care. Principles and methods of planning, directing and maintaining compliance with regulatory standards. Managerial/Supervisory principles and practices as well as techniques and methods to organize and manage a department. Principles and practices of managed care health care systems, medical administration and NCQA accreditation standards.
Ability to: Work cooperatively with others. Work as part of a team and support team decisions. Communicate effectively, both verbally and in writing. Adapt to changes in requirements/priorities for daily and specialized tasks. Display professional communication skills (both written and oral) and possess a high level of attention to detail. Demonstrate superior organization, facilitation, and presentation skills. Build and maintain strong relationships within and outside HPSM. Impart critical thinking, listening, time management, decision making, and problem solving skills; maintain confidentiality. Think and work effectively under pressure and accurately complete tasks within established times; prioritization and meeting critical deadlines. Work independently and within a team environment as well as work collaboratively across functional areas in a matrix structure. Effectively train and provide customer service skills in accordance to various audiences and comprehension levels. Exhibit strong interpersonal skills to utilize when coaching staff and handling conflict resolution
Compensation and Benefits
Starting Compensation Range: - Depending on Experience
Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s Medical, Dental and Vision coverage. Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits. Additional HPSM benefits include fully paid life, AD&D, and LTD insurance; retirement plan (HPSM contributes equivalent of 10% of annual compensation); holiday and vacation pay; tuition reimbursement plan; onsite fitness center and more.
How to Apply
Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: firstname.lastname@example.org or via fax: (650) 616-8039. File by: Continuous until filled. The Health Plan of San Mateo is proud to be an Equal Opportunity Employer and encourages minority candidates of all backgrounds to apply.
Submissions without a Cover Letter and Salary Expectations may not be considered.