Community Health System

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Manager Regulatory Compliance. Insurance Services

Requisition ID
2026-R1953
Category
Professional
Shift Type
Full-Time
Shift
Exempt 8 Hour
Shift Schedule
Days
Facility
Community Medical Centers - Corporate Offices (CMC)
Location
US-CA-Fresno
Posted Date
3/23/2026
Min
USD $61.37
Max
USD $79.78

Overview

Opportunities for you! 

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 
  • Eligible for annual incentive program 
  • Community University leadership training courses 
  • Tuition reimbursement, education programs and scholarships 
  • Vacation time starts building on Day 1, and builds with your seniority 
  • Free money toward retirement with a 403(b) and matching contributions 
  • Great food options with on-demand ordering 
  • Free parking and electric charging 

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities

As Manager Regulatory Compliance, you identify as an agent of change, committed to helping drive improvement outcomes and standing by decisions in the interest of Community; the popular and the unpopular. Collaboration across our healthcare system in the name of quality patient experiences comes second natured. 
 
The Regulatory Compliance Manager for Community Care Health will be responsible for overseeing and managing regulatory compliance, including assisting with the regulatory audit functions. We are looking for a detail-oriented team member to facilitate leadership and vision for the program. From developing and modifying policies and procedures, to meeting deadlines and submitting filings, developing and maintaining relationships with stakeholders and state regulators, you will be an integral advocate for our health plan.

Qualifications

Education: Bachelor’s Degree required (or equivalent combination of education and experience). 

 

Professional Experience:  5 years in a professional healthcare compliance role. 

  • Key Requirement: Experience with California health plan regulatory compliance is highly preferred. 
  • Technical Skills: Proficiency in Microsoft Office Suite (Word, Excel, and PowerPoint) is essential for creating presentations and managing large data files.
  • Writing Skills: Must be a strong, clear, and concise writer for drafting policies, procedures, and formal responses to the Department of Managed Healthcare (DMHC). 
  • Attention to Detail: Critical for cataloging audit documents, revising evidence of coverage (EOC) versions, and managing "Timely Access Reports." 
Licenses and Certifications
  • NATIONAL - National Certification related to specialty and applicable to role (healthcare audit, fraud, or compliance) preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

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