Healthcare Compliance Manager

Department: Compliance and EthicsPosition Type: Full-Time/ExemptLocation: Sacramento, CA/HybridTravel: OccasionalSalary: $115,000 - $130,000 Annually"Our purpose is strong, our impact is lasting, join us on the journey"Western Health AdvantageDrive 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 DoOversee daily operations of the Compliance and Ethics Department, including auditing, monitoring, and trainingLead regulatory filings and reporting, including DMHC, HIOS, and SERFF submissionsServe as a subject matter expert on compliance requirements, including Knox-Keene and DMHC regulationsPartner with internal teams to interpret and implement new regulatory requirementsOversee internal and external audits and track corrective actionsSupervise Compliance Analysts and support team development and performance managementLead compliance-related communications, including newsletters, manuals, and publicationsSupport development of departmental strategies, performance tracking, and business planningMonitor and respond to hotline reports, escalating and analyzing compliance concerns as neededParticipate in cross-functional initiatives and represent compliance in organizational projectsEnsure adherence to WHA's Privacy and Information Security programs and regulatory requirementsMaintain confidentiality and uphold compliance with HIPAA and other privacy standardsPerform other duties and special projects as assignedWhat You'll BringBachelor's degree in Compliance, Healthcare Administration, Legal/Regulatory Affairs, or a related field5+ years of experience in healthcare compliance, regulatory, auditing, or governance rolesProfessional certification such as Certified Healthcare Compliance (CHC) preferredStrong knowledge of regulatory frameworks including NCQA, Knox-Keene, HIPAA, Covered California, and related requirementsExperience leading compliance initiatives, audits, and regulatory filingsStrong leadership, communication, and analytical skillsAbility to manage multiple priorities and collaborate across departmentsProficiency with standard business applicationsWestern Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law. (EOE)Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you - and excellent customer service for our members.*WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Western Health Advantage will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the to the Federal Trade Commission by selecting the 'Rip-offs and Imposter Scams' option.'

Created: 2026-04-02