My Insurance Services

What You'll Do

• Develop, implement, and maintain the organization-wide compliance plan and code of conduct
• Build the program around the seven elements of an effective compliance program per federal/OIG guidance
• Conduct annual compliance risk assessments and maintain a prioritized work plan
• Serve as HIPAA Privacy Officer; draft and enforce privacy and security policies
• Inventory and execute Business Associate Agreements with vendors and partners
• Build and operate the FWA prevention program, including monthly OIG/SAM/Medi-Cal exclusion screening
• Maintain an anonymous reporting hotline and non-retaliation policy
• Serve as primary liaison for DHCS and managed‑care plan audits
• Conduct internal audits, billing‑compliance sampling, and manage grievance/appeal/incident resolution
• Report compliance status and risks to the CEO and governing body

What You Bring

• Bachelor's degree in a related field
• Minimum 5 years of healthcare compliance experience
• Working knowledge of HIPAA, 42 CFR Part 2, FWA frameworks, and Medi-Cal managed‑care requirements
• Demonstrated ability to build compliance processes from the ground up
• Strong written communication skills — able to draft policies, reports, and audit responses independently

Nice to Have

• Certified in Healthcare Compliance (CHC), or able to obtain within 12 months
• Direct experience with CalAIM ECM and/or Community Supports
• Advanced degree (JD, MPH, MHA) or active RN licensure
• Experience serving as a HIPAA Privacy Officer
• Familiarity with behavioral‑health and recuperative‑care settings

Compensation & Growth

Base salary range: $120,000–$162,000 (Sacramento metro, healthcare sector), with credentials (CHC, RN) and direct CalAIM experience driving placement within the band. As MISI scales, this role is intended to grow into leading a full compliance department — a strong fit for someone looking to build and then lead.