Regulatory & Claims Compliance Lead

Bay Area Community Health; San Jose (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

Bay Area Community Health is seeking a Compliance Manager to oversee the organization’s regulatory adherence and FTCA claims processing. The role includes auditing, policy development, risk management, and staff training to ensure compliance with federal and state laws.

The position reports to senior leadership and requires strong communication skills, experience interpreting laws, and the ability to implement effective compliance programs across departments.

Qualifications

• Four-year college degree or equivalent.
• Experience researching and interpreting laws and regulations.
• Compliance certification from a recognized trade organization (e.g., CUCE, NCCO, CRCM) preferred, but not required.
• Excellent oral and written communication skills.
• Strong PC skills.
• Good problem-solving abilities.

Responsibilities

• Develop and maintain the claims management process for FTCA-related claims.
• Oversee claims management under FTCA and act as the points of contact.
• Analyze internal systems for regulatory compliance and ethical standards.
• Draft, update and implement policies; develop risk management strategies.
• Design control systems and training programs for staff.

Skills

Oral and written communication

Strong PC skills

Problem-solving

Education

Four-year college degree or equivalent

Compliance certifications (CUCE, NCCO, CRCM)

Job description

Bay Area Community Health is seeking a Compliance Manager to oversee the organization’s regulatory adherence and FTCA claims processing. The role includes auditing, policy development, risk management, and staff training to ensure compliance with federal and state laws.

The position reports to senior leadership and requires strong communication skills, experience interpreting laws, and the ability to implement effective compliance programs across departments.