Senior Manager, Knox-Keene Compliance
Core
Regulatory architect and strategic partner responsible for owning all Knox-Keene compliance obligations, aligning operations with the California Department of Managed Healthcare (DMHC), and translating data into strategic decisions to scale behavioral health delivery.
Role type
Senior Manager, Clinical Regulatory Compliance
Builds
Compliance frameworks, reporting mechanisms, and audit responses for Knox-Keene license
Domain
Healthcare / Behavioral Health / California Managed Care
Deliverable
client delivery
Required skills
Knox-Keene expertise, Technical Assistance Guide (TAG) mastery, California healthcare regulations knowledge, Power BI, advanced analytics, strategic independence, board-level presentation
Preferred skills
Quality assurance mindset, adaptability to evolving regulatory frameworks, collaborative leadership
Technologies
Power BI, Excel
Responsibilities
Own all Knox-Keene compliance obligations including monthly, quarterly, and annual reporting, Plan Letters, and audit responses; Use Power BI and advanced analytics to monitor compliance trends and forecast regulatory risks; Partner with clinical and policy teams to design and implement Knox-Keene-related frameworks; Provide clinical insight on policy, investigations, and operational challenges; Present compliance findings to the Board and Public Policy committees and participate in DMHC audits; Partner across teams to align work with regulatory requirements