Organization: Kern Health Systems
Location: Bakersfield, CA
Date Job Posted: June 30, 2021
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Director of Compliance & Regulatory Affairs
Kern Family Health Care, 2900 Buck Owens Blvd., Bakersfield, California, United States of America Req #1584
We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).
The Director of Compliance and Regulatory Affairs serves as Kern Health Systems Compliance Officer to ensure organizational compliance with all regulatory requirements, contract requirements, and company policy and procedures, and for conducting, coordinating and reporting audit and investigative activities for the purpose of preventing and detecting fraud, abuse, and waste. The Director of Compliance and Regulatory Affairs oversees and communicates all assigned compliance activities and programs, as well as plans, implements, and monitors the compliance program. This position should establish and maintain positive relationships with regulators and become a resource for Kern Health Systems staff on regulatory issues.
This position is responsible for management, coordination and completion of activities related to regulatory requirements, contract compliance and fraud prevention and investigation for a Knox-Keene health maintenance organization (HMO). This position is responsible for reporting directly to the Chief Executive Officer and the Board of Directors on compliance issues when appropriate or required by the nature of the compliance issue.
Bachelor’s degree from an accredited school or equivalent required. Master’s degree in business administration preferred. Certification in Healthcare Compliance preferred.
Ten (10) years of experience in legal and/or health care related field. Managed care experience in Medi-Cal and Medicare highly preferred.
Managed care systems of a Knox-Keene licensed health maintenance organization (HMO). Understanding and interpretation of State and Federal regulations. Microcomputer applications: spreadsheet, database, and word processing.
Work independently and manage multi-task responsibilities. Maintain confidentiality, communicate effectively with KHS staff, providers, regulatory agencies and legal counsel; excellent written and verbal communication skills.
Other: Required travel up to 20%. Possession of valid California Driver's License and proof of valid State required auto liability insurance.
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.