Hiring: Quality Improvement & Compliance Manager Company: Seen Health Location: Los Angeles, CA Job Posted Time: 2026-09-03 11:04:53 Target Skills & Keywords : Regulatory Compliance About the job Experience: •4+ years of healthcare quality, compliance, regulatory, managed-care, or clinical operations experience Required Skills: •Execute the annual QIC monitoring and audit plan; conduct or assign targeted audits •Review findings for severity, frequency, regulatory exposure, and participant impact; track corrective actions through verified closure •Escalate material or repeat deficiencies to the QIC Director •Own grievance administration: confirm classification, lead fact-finding and interviews, evaluate evidence, and ensure written resolutions are complete and appropriate •Track remedies and corrective actions; review trends for systemic issues and escalate significant participant-rights or regulatory concerns •Translate CMS, DHCS, and other regulatory requirements into monitoring tools and crosswalks •Conduct compliance reviews and support departments in interpreting and implementing requirements •Corrective Action Management Qualifications: •Bachelor's degree in healthcare administration, public health, nursing, quality, business, or related field (equivalent substantial experience considered) •Supervisory, project leadership, or team-lead experience •Professional verbal fluency in Mandarin required, sufficient to independently conduct participant/caregiver interviews and investigate grievances; Cantonese preferred •PACE experience, CMS/DHCS regulatory experience, grievance/appeals/participant-rights investigation experience, and a clinical license or quality/compliance certification are all preferred •Los Angeles required. Ability to commute to Alhambra required. Compensation: •$120,000 - $150,000 / year •Equity: included as part of founding team package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!