Regulatory Affairs and Compliance Manager

Mass General Brigham•Somerville, MA

1d•Hybrid

About The Position

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. Job Summary Responsible for ensuring that the MGB Health Plan adheres to all relevant regulations and standards governing the commercial line of business. This role involves managing regulatory submissions, ensuring compliance with healthcare laws and policies, and leading efforts to maintain high standards of quality and privacy across the organization.

Requirements

Bachelor's Degree required- experience can be considered in lieu of degree
At least 5-7 years of experience in regulatory affairs, compliance, or accreditation within a healthcare setting required
At least 2-3 years of experience in a supervisory or leadership role required
In-depth knowledge of healthcare regulations, standards, and accreditation requirements.
Strong analytical and problem-solving abilities.
Excellent communication and interpersonal skills, with the ability to work effectively with all levels of staff and external stakeholders.
Experience in managing audits, preparing regulatory submissions, and implementing compliance programs.
Ability to stay current with evolving regulations and industry trends.

Nice To Haves

Compliance, privacy, or regulatory experience at a commercial health plan highly preferred

Responsibilities

Oversee compliance with federal, state, and local regulations, including those related to healthcare delivery, accreditation, and member privacy.
Develop and implement policies and procedures to ensure adherence to regulatory requirements and best practices.
Prepare, review, and submit regulatory documents and reports to governmental agencies and accrediting bodies.
Conduct regular compliance audits and assessments to identify areas of risk and ensure adherence to regulatory standards.
Develop and implement action plans to address any compliance issues or deficiencies identified during audits.
Develop and deliver training programs for staff on regulatory requirements, compliance policies, and best practices.