Healthcare Compliance Leader (FTCA & Claims)

AppleOne Employment Services; San Jose (CA); On-site; USD 105,000 - 120,000; Full time

Benefits offered by this job

Major medical

Dental

Vision

401k

Statutory sick pay

Job summary

AppleOne Employment Services is hiring a Compliance Manager in San Jose, CA to oversee policies, claims processes, and regulatory adherence. The role supports senior leadership, strengthens risk management, and supervises a compliance team in a medical/healthcare environment.

The position entails development of compliant procedures, audits, and cross-functional collaboration with various departments. Strong analytical, organizational, and communication skills are essential.

Qualifications

• Four-year college degree or equivalent experience required.
• Oversee compliance monitoring, testing, audits, investigations, and reporting.
• Develop policies, procedures, controls, training recommendations, and risk management strategies.
• 3–5 years of relevant compliance, regulatory, risk management, or healthcare experience preferred.

Responsibilities

• Develop, maintain, and oversee the claims management process for health-related claims, incl. FTCA considerations.
• Analyze systems to ensure compliance with federal/state regulations and accreditation standards.
• Conduct reviews, audits, monitoring, testing, and investigations of potential violations.
• Create/update policies and forms to support compliant operations.
• Track regulatory changes and coordinate with teams to implement updates.
• Provide risk-based guidance and respond to regulatory requests or examinations.

Skills

Regulatory knowledge

FTCA claims process

Policy development

Risk management

Communication skills

Leadership

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Job description

AppleOne Employment Services is hiring a Compliance Manager in San Jose, CA to oversee policies, claims processes, and regulatory adherence. The role supports senior leadership, strengthens risk management, and supervises a compliance team in a medical/healthcare environment.

The position entails development of compliant procedures, audits, and cross-functional collaboration with various departments. Strong analytical, organizational, and communication skills are essential.