Manager Regulatory Compliance. Insurance Services
About The Position
As Manager Regulatory Compliance, y ou 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 natur ed. 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.
Requirements
- Bachelor’s Degree (or equivalent combination of education and experience)
- 5 years in a professional healthcare compliance role
- Proficiency in Microsoft Office Suite (Word, Excel, and PowerPoint)
- Must be a strong, clear, and concise writer for drafting policies, procedures, and formal responses to the Department of Managed Healthcare (DMHC)
- Critical for cataloging audit documents, revising evidence of coverage (EOC) versions, and managing "Timely Access Reports."
Nice To Haves
- Experience with California health plan regulatory compliance is highly preferred
- NATIONAL - National Certification related to specialty and applicable to role (healthcare audit, fraud, or compliance) preferred
Responsibilities
- Overseeing and managing regulatory compliance
- Assisting with the regulatory audit functions
- Developing and modifying policies and procedures
- Meeting deadlines and submitting filings
- Developing and maintaining relationships with stakeholders and state regulators
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
1,001-5,000 employees
