Associate Director, Quality and Compliance, DentaQuest (California)

About the Role

Day-to-day, the Associate Director will be involved in a wide range of activities, from monitoring and analyzing regulatory changes to implementing compliant processes across the organization. This role requires a deep understanding of state and federal laws and regulations, including those related to Medicare, Medicare Advantage, and Medicaid. The ability to influence and collaborate with cross-functional teams is crucial, as is the capacity to communicate complex compliance issues in a clear and concise manner.

The Associate Director will be part of a dynamic team committed to excellence in healthcare management. Reporting to senior leadership, this role will have a significant impact on the organization's ability to deliver high-quality, compliant services to its clients and members.

What You Will Do

• Provide operational guidance on quality and compliance matters to ensure the effective delivery of services.
• Serve as the compliance subject matter expert to operational leads, implementing contractually and regulatorily compliant processes.
• Monitor and analyze changes in regulatory requirements, advising the organization on necessary adjustments.
• Develop and implement quality and compliance programs to meet the needs of California government program clients.
• Collaborate with cross-functional teams to ensure that all aspects of service delivery are compliant with regulatory requirements.
• Conduct regular audits and assessments to ensure ongoing compliance with all relevant laws and regulations.
• Communicate complex compliance issues and recommendations to senior leadership and other stakeholders.
• Stay up-to-date with the latest developments in healthcare regulations and industry best practices.
• Participate in the development of policies and procedures to enhance quality and compliance across the organization.

What We Are Looking For

• Five years of experience in government programs, product management, regulatory affairs, operations, or a related function, preferably in a healthcare or managed care environment.
• Up-to-date knowledge of state and federal laws and regulations, including Medicare/Medicare Advantage and Medicaid requirements.
• Proven ability to influence cross-functional teams without formal authority, including skills in collaborating and influencing others.
• Strong analytical and problem-solving skills, with the ability to analyze complex data and develop effective solutions.
• Excellent communication and interpersonal skills, with the ability to communicate complex issues to both technical and non-technical stakeholders.
• Experience in managing quality and compliance programs, with a focus on process improvement and regulatory adherence.
• Ability to work in a fast-paced environment, prioritizing tasks and managing multiple projects simultaneously.

Nice to Have

• Experience working with digital tools and platforms related to quality and compliance management.
• Knowledge of healthcare technology and digital transformation trends.
• Certification in a related field, such as compliance or quality management.
• Experience in leading or participating in audits and compliance assessments.

Benefits and Perks

• Generous vacation and sick time to ensure a healthy work-life balance.
• Market-leading paid family, parental, and adoption leave to support employees during significant life events.
• Comprehensive medical coverage to protect the health and well-being of employees and their families.
• Company-paid life and AD&D insurance for added financial security.
• Disability programs to support employees in case of illness or injury.
• Partially paid sabbatical program to allow for extended leave and personal development.
• 401(k) employer match to help employees plan for their future.
• Stock purchase options to provide employees with the opportunity to own a part of the company.
• Employer-funded retirement account to support long-term financial planning.

• When applying for this role, make sure to highlight your experience with government programs and regulatory affairs, as these are key areas of focus for the position.
• Develop a strong understanding of the current regulatory landscape in healthcare, particularly in California, to demonstrate your expertise.
• Showcase your ability to communicate complex compliance issues in a clear and concise manner, as this will be essential in the role.
• Be prepared to discuss your experience with digital tools and platforms related to quality and compliance management, as these skills are highly valued.
• Consider obtaining certifications in compliance or quality management to enhance your application and demonstrate your commitment to the field.
• Prepare to discuss your experience working in remote environments and how you stay organized and manage multiple projects simultaneously.
• Research DentaQuest and its commitment to patient-centric solutions to understand the company culture and values.