Senior Compliance & Training Manager at Amity Foundation – 3316 S. Main St. Los Angeles, California

The Sr Compliance Manager for the Enhanced Care Management (ECM)-Community Supports (CS) program is responsible for the compliance of these projects. ECM is a comprehensive, patient-centered approach to healthcare that aims to improve outcomes for high-need populations. This involves the coordination of medical, behavioral, and social services to address the full range of patient needs, focusing on those with complex and chronic conditions. ECM programs are designed to optimize care delivery, reduce unnecessary hospitalizations, and improve the overall quality of life for students. The Sr Compliance Manager supervises QA, Data, and Community Supports staff involved in maintaining both paper and Electronic Health Record (EHR) documents and files for Students, including compliance, Medi-Cal billing, and contract oversight for all Managed Care Plans (MCP) and contracted counties. The Sr Compliance Manager reports to the Program Director.

Required:

• Excellent attention to detail and the ability to manage complex information with high accuracy.

• Strong organizational and time-management skills.
• Proficiency with data entry, electronic health record systems, and Microsoft Office suite.
• Effective written and verbal communication skills.
• Experience with managing reports and reviewing services prior to claim submission in a behavioral healthcare setting is a plus.

Certifications or Licenses:

• Excellent interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in the community and within the organization.
• Knowledge of contract parameters, objectives, milestones, and other deliverables.
• Knowledge of contracting process and associated local, state, federal, and other regulations.
• Ability to integrate budgetary and service utilization data, forecast expenditures, and respond to ensure both effective provider utilization and budget compliance.
• Ability to multitask, identify problems, provide recommendations to management teams, and implement any applicable systems.
• Ability to work constructively with diverse people and with parties that may have divergent perspectives and interests.
• Ability to clearly express concepts and direction, both orally and in writing, and to prepare complex reports, policies, and procedures.
• Understand and appropriately apply Amity policies and procedures and adhere to agency-wide practices and regulations.
• Strong oral and written communication skills.
• Proficient with software such as Microsoft Office Suite (Word, Excel. Email, Internet, etc.).
• Ability to utilize resources available to complete assigned projects.
• Ability to prepare written reports and correspondence.
• Ability to effectively communicate, verbally and in writing.
• Able to work in excess of 40 hours per week with the possibility of a varied schedule
• Must be able to maintain a high level of confidentiality.
• Ability to build and maintain positive internal and external relationships.
• Ability to provide exemplary customer service to all employees and outside constituents.
• Ability to function independently and as a member of a team in a multi-task environment.
• Must be flexible and able to handle multiple priorities, with the ability to adjust to high pressure and rapidly changing business conditions.

Physical Requirements:

• Faculty must frequently lift and/or move up to 50 pounds.
• Frequently required to sit and/or stand for extended periods of time.
• Frequently required to type for extended periods of time.
• Occasionally required to reach, walk, climb, pull, push, grasp, stretch, stoop.
• Frequently required to talk, hear, see, and use repetitive motions.
• Frequently able to communicate in verbal and written form.
• Frequently able to use all types of vision, such as close vision, distance vision, color vision, peripheral vision, and depth perception, to complete daily tasks.
• Required to wear comfortable and office appropriate clothes.

Mental Demands:

• Ability to change direction as priorities shift.
• Ability to thrive in an environment that requires one to adapt to changing circumstances.
• Ability to professionally work under pressure with difficult or temperamental students & faculty.
• Ability to handle mental and emotional stress related to the position.

Work Conditions:

• Generally, in an indoor office setting.

Environmental Conditions:

• The noise level in the work environment is moderate but can be loud.

• Responsible for oversight of compliance departments at any Amity Foundation location.