Compliance

• Lead L.A. Care’s Special Investigations Unit (SIU) in overseeing the internal and external investigations into fraud, waste, abuse, and compliance violations
• Drive the design, implementation, and continuous improvement of the Fraud, Waste, and Abuse (FWA) program
• Ensure effective case intake, triage, investigation, tracking, and resolution processes
• Develop and support enterprise policies, procedures, and training programs for FWA prevention
• Direct and oversee investigations into allegations of non-compliance, ethical violations, or fraudulent behavior
• Ensure timely and accurate reporting of SIU/FWA activity to external agencies
• Develop dashboards, analytics, and reporting tools for visibility into investigative outcomes and risk trends
• Serve as a trusted advisor and subject matter expert to senior leadership

Director, Compliance – Special Investigations Unit, Fraud, Waste and Abuse

Senior Testing Officer, Enterprise Testing

Senior Compliance Systems/Data Associate