Manager, Financial Compliance Audit, $10,000 SIGN ON BONUS

Financial Compliance Audit Manager

This role is responsible for the timely and quality delivery of a variety of complex areas across all lines of business, including Medi-Cal, Covered California, D-SNP, and PASC-SEIU. This position manages the financial audit team in ensuring the delegates such as plan partners, participating provider groups, and capitated hospitals, Specialty Health Plans, and vendors contracted with L.A. Care adhere to contractual agreements, applicable laws & regulations, policies, and industry standards which provide medical, hospital, vision, dental, behavioral health, transportation and telehealth services.

This position is responsible for planning, executing, reporting, and monitoring financial solvency audits and ensuring meeting the audit calendar and reporting requirements. This position manages the quarterly / annual financial analysis to ensure that delegates are financially solvent. The Manager monitors the plan partners' oversight activities of their Medi-Cal provider network. Manages all aspects of running an efficient and high-performance team, including hiring, supervising, coaching, training, annual performance reviews, disciplining, and motivating direct reports.

Duties include managing all financial solvency related audits and related monitoring activities independently, overseeing all aspects of financial solvency reviews, managing staff, managing complex projects, ensuring financial solvency compliance with regulatory and contractual requirements, managing the design, implementation, and reporting of special projects, managing the assessment, communication, implementation of regulatory requirements, managing the formalization of key internal processes and monitoring tools, responsible for the completion and review of financial audit team's pre-delegation assessment, responsible for the overall communication and collaboration with cross-functional teams, senior leadership, and delegates, overseeing the monitoring and analysis of membership data, managing complex financial solvency audits, requesting and follow-ups on Corrective Action Plans, developing, implementing, and executing the audit program and audit procedures, overseeing and reviewing the comprehensive financial analysis, monitoring the plan partners' audit and quarterly financial analysis of their Medi-Cal provider network, communicating effectively with senior leadership on compliance matters, maintaining related company's policies and procedures, proactively identifying opportunities and solutions to improve the effectiveness and efficiency of the financial audit function, and performing other duties as assigned.

Education required : Bachelor's Degree in Finance or Accounting or Related Field. In lieu of degree, equivalent education and / or experience may be considered. Education preferred : Master's Degree. Experience required : At least 6 years of experience in financial auditing in a managed care industry. At least 4 years of leading, supervising and / or managing staff experience. Proven experience in leading and managing audit teams. Significant experience in assessing, investigating, and auditing compliance risks. Skills required : Demonstrated ability to handle the growing population in the L.A. Care network and audit activities. Excellent verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical and problem-solving skills. Ability to interface professionally with both internal and external customers at all levels of the organization. Must be self-motivated, detail-oriented, prioritize assignments, and able to work as part of a team. Knowledge of and ability to oversee the major responsibilities, accountabilities, and organization of the audit and compliance function. Knowledge of and ability to create, implement, evaluate and enhance internal control processes. Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint). Licenses / Certifications required : Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Management Accountant (CMA) Certified Fraud Examiner (CFE).

Physical Requirements : Light.

Additional Information : Salary range is $117,509.00 (Min.) - $188,015.00 (Max.). L.A. Care offers a wide range of benefits including Paid Time Off (PTO), Tuition Reimbursement, Retirement Plans, Medical, Dental and Vision, Wellness Program, and Volunteer Time Off (VTO).