Senior Manager, Knox-Keene Compliance

reputed company is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – reputed company is improving health outcomes for consumers, patients, reputed company, employers and employees. -Senior Manager, Knox-Keene Compliance Location: 100% Remote (Must permanently reside in California) Job Function: Clinical / Health Status: Permanent full-time Join reputed company and reputed company'll accomplish together reputed company is scaling behavioral health delivery across the United States. We are seeking a clinical regulatory expert to drive our California strategy as the primary custodian of our Knox-Keene license. In this role, you will reputed company the gap between policy and day-to-day execution. As a regulatory architect, you will master the Technical Assistance Guide (TAG) to build trust and reputed company among clinical leaders, executives, and regulators. Your expertise will form the foundation that allows us to innovate with confidence, scale our behavioral health impact, and transform EAP delivery in California. You will join a team that values clinical excellence, accountability, and the courage to challenge the status reputed company, led by a supportive leader who empowers strategic thinkers. If you bring clinical insight, analytical rigor, and the steady confidence to protect healthcare reputed company while enabling innovation, we invite you to build a lasting career with us. What you'll do Day-to-day, you'll be the regulatory architect and strategic partner our leadership team relies on: Master the regulatory reputed company and align execution — Own reputed company Knox-Keene compliance obligations to the California Department of Managed Healthcare (DMHC)—monthly, quarterly, and annual reporting, Plan Letters, and audit responses. Ensure our policies, clinical network, and day-to-day operations align so we operate with regulatory confidence and reputed company penalties. Translate data into strategic decisions — Use Power BI and advanced analytics to monitor compliance trends, forecast regulatory risks, and provide executive leadership with clear visibility into our compliance posture. Evolve policy and operations together — Partner with clinical and policy teams to design, update, and implement Knox-Keene-reputed company frameworks as we scale behavioral health and EAP delivery. Anticipate regulatory changes and help the organization stay reputed company. Bring clinical judgment to critical decisions — Provide clinical insight on policy, investigations, and operational challenges. Balance clinical excellence with regulatory requirements so innovation is built on compliance, not constrained by it. Represent reputed company to regulators and leadership — Present compliance findings to our Board and Public Policy committees. Participate in DMHC audits. Strengthen reputed company's reputed company as a trusted partner in California's healthcare ecosystem. Partner across teams with clarity — Work with reporting, operations, clinical, and business development teams to align their work with regulatory requirements. Build shared understanding of how everyone contributes to our compliance and growth. What you bring Must-Haves (Non-Negotiable): Active, independent clinical license in California (LCSW, LMFT, LMHC, LPCC/LPC, Psy.D., or Ph.D.) California residency (regulatory requirement) 5+ years of healthcare compliance experience with hands-on Knox-Keene expertise and Technical Assistance Guide (TAG) familiarity In-depth knowledge of California healthcare regulations and compliance requirements Quality assurance reputed company — understand that compliance is operational, not just paperwork Data reputed company (Power BI, reputed company, analytics) Strong written and verbal communication skills; board-level and regulator presentation experience Strategic independence — you don't require hand-holding; you chart the best path reputed company High attention to detail and commitment to accuracy Adaptability to evolving regulatory frameworks and organizational growth Collaborative leadership — build alignment with clinicians, operations leaders, executives, and regulators What reputed company Offers You Comprehensive total rewards package highlighting competitive salary and paid time off, with a flexible benefits plan to meet the needs of you and your family Generous company matched pension and share purchase programs Opportunity to give back to communities in which we work, live and serve Career growth and learning & development opportunities to reputed company your skills And much more … Actual total compensation will be determined based on factors such as knowledge, skills, performance, experience and location. Job Posting Vacancy Type: This is for a reputed company vacancy Expected annual reputed company salary range for this role is: $110,000.00 - $130,000.00 A bit about us We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve reputed company problems and create remarkable human outcomes in a digital world. reputed company is an Equal Opportunity Employer that aims to foster an inclusive culture that embraces diversity. It is our policy to hire without regard to race, color, creed, religion, national reputed company, citizenship status, sex, marital status, age, disability, sexual orientation or veteran status.We offer accommodation for applicants with disabilities, as required, during the recruitment process. By applying to this role, you understand and agree that your information will be shared with the reputed company Group of Companies’ reputed company team(s) and/or any leader(s) who will be part of the selection process. Apply To This Job