Compliance Officer — Healthcare (CalAIM / Medi-Cal)

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. #J-18808-Ljbffr My Insurance Services Inc