Remote Quality & Compliance Lead (Healthcare)

Horizontal 2; Fresno (CA); Hybrid; USD 95,000 - 130,000; Full time

Job summary

Horizontal 2 is seeking a Quality and Compliance Manager in California to design, implement, and monitor compliance programs across in-home healthcare operations. You will report to the VP of Quality & Compliance and lead cross-functional teams to meet Medi-Cal, DHCS, and IHSS requirements, ensuring audit readiness and robust CAPs.

Hybrid work in California with up to 20% travel, focusing on risk controls, policy updates, training, and contract risk management across service lines.

Qualifications

• 3+ years in compliance monitoring and regulatory risk controls in healthcare.
• 3+ years managing internal compliance controls including audit functions and CAPs.
• Knowledge of California healthcare regulations (Medi-Cal, DHCS) and managed care contract compliance.
• Experience in in-home healthcare or similar field-operations model is preferred.

Responsibilities

• Design and maintain a regulatory compliance monitoring calendar (DHCS, DMHC, CMS, county requirements).
• Monitor federal and CA regulatory changes; update policies accordingly.
• Develop risk matrices for regulatory and contract obligations; elevate material risks to leadership.
• Coordinate responses to regulatory inquiries, desk reviews, and on-site surveys; track findings to resolution.
• Maintain contract obligations tracker and oversight of reporting deadlines and performance standards.
• Lead internal audits and testing across clinical operations, billing, documentation, and vendor management.

Skills

Regulatory knowledge

Contract risk management

Cross-functional leadership

Auditability

Bilingual English/Spanish

Education

Bachelor’s degree in healthcare administration

Master's degree preferred

CHC or CIA certification preferred

Tools

GRC platforms

Job description

Horizontal 2 is seeking a Quality and Compliance Manager in California to design, implement, and monitor compliance programs across in-home healthcare operations. You will report to the VP of Quality & Compliance and lead cross-functional teams to meet Medi-Cal, DHCS, and IHSS requirements, ensuring audit readiness and robust CAPs.

Hybrid work in California with up to 20% travel, focusing on risk controls, policy updates, training, and contract risk management across service lines.