Manager, Regulatory & Filing Operations

Centene Corporation•Remote-MO, MO

2d•$87,700 - $157,800•Remote

About The Position

Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit database). Responsible for quality of their functional area outputs. Regulatory oversight and advocacy positioning, as it relates to functional area. Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas. Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.

Requirements

Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/ or product filing or Qualified Health Plan (QHP documentation and template creation (CMS and/ or State DOI).
Experience in commercial health insurance or a highly regulated industry.
0-3 years of supervisory/management experience.
In depth knowledge of health products, procedures, and state insurance regulations.
Experience providing product regulatory proposals and recommendations.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Nice To Haves

Pre-Law, Master’s Degree or JD desirable.

Responsibilities

Manage the team’s review, interpretation, and summarization of current, proposed, and enacted legislation and/or regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership.
Manage, coordinate, develop, monitor, and lead projects (regulatory or filing) internal to the department and cross-functional business partners, including product filings and submissions (CMS and State DOIs).
Manage and perform quality assurance audits on department work product, including regulatory research, filings, member-facing policy documents, projects, and communications.
Manage the maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population.
Supervise and/or perform audit outputs from the Source of Truth system and/or document.
Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for performance, quality improvement and growth development for staff.
Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.
Responsible for working with IT on system enhancements and/or fixes to the product benefit database.
Manages staff working with IT on product benefit database.
Performs other duties as assigned.
Complies with all policies and standards.