Regulatory Affairs Program Manager

CareOregon

23h • $90,225 - $110,275 • Remote

About The Position

The Regulatory Affairs Program Manager supports the development, oversight, and implementation of regulatory programs that support performance at or above federal and state standard requirements, contractual obligations, and internal standards. This role provides leadership and expertise across multiple program areas, including contractual deliverables, regulatory communications, contract readiness and performance evaluation, and policy alignment—while collaborating closely with the Director to drive operational excellence and protect and promote the organization’s reputation with regulators Program Managers serve as strategic partners to internal departments, facilitating cross-functional enterprise coordination, regulatory interpretation, and performance improvement initiatives. Each Program Manager is assigned to one or more core programs and is responsible for maintaining the infrastructure, documentation, and workflows that support regulatory alignment and organizational accountability.

Requirements

• Minimum 5 years of experience interacting with federal and/or state regulatory agencies
• Minimum 3 years of progressive experience in Medicare, Medicaid, or Managed Care
• Minimum 2 years of experience facilitating or overseeing implementation of contract requirements
• Knowledge
• Extensive knowledge of managed care and the Oregon Health Plan
• Strong knowledge of federal Medicare regulations and state Medicaid rules (OARs)
• Knowledge of OHA contractual deliverables portal and processes
• Skills and Abilities
• Excellent analytical, written, and verbal communication skills
• Proficient in word processing, spreadsheets, and database tools
• Strong relationship-building skills with internal and external partners to achieve desired outcomes
• Skilled in negotiating and implementing complex reimbursement arrangements
• Able to work independently with providers, provider groups, and other populations to resolve issues
• Effective at organizing, prioritizing, and managing multiple projects and working under externally determined deadlines
• Comfortable working with diverse individuals and groups
• Capable of learning, evaluating, and acting on complex information
• Receptive to direction and feedback; able to manage stress in dynamic environments
• Able to maintain professional relationships across departments
• Visual and motor ability to perform repetitive hand movements for up to 6 hours/day
• Auditory and verbal ability to hear and speak clearly for 3–6 hours/day

Nice To Haves

• Bachelor's degree in business, Health Care Administration, Analytics, or related degree

Responsibilities

• Program Administration
• Develop, implement, and sustain assigned regulatory programs (e.g., Deliverables, Communication, Contract Readiness and performance evaluation, Policy Management).
• Maintain program-specific policies, procedures, workflows, and documentation to support regulatory alignment and operational clarity.
• Manage program tools and platforms (e.g., Smartsheet, SharePoint, PolicyTech) for tracking, reporting, and communication.
• Facilitate coordination of complex or cross-functional activities, especially those involving regulatory deadlines or deliverables.
• Monitor regulatory changes and assess impact on assigned programs and processes.
• Escalate moderate to high-risk issues, including reputational risk, to Legal, Compliance, or Executive Leadership as appropriate.
• Maintain centralized resource sites and support materials for internal stakeholders.
• Project Leadership
• Lead programmatic and project-based initiatives within the Regulatory Affairs department.
• Collaborate with internal departments to evaluate and improve Regulatory Affairs existing programs.
• Create educational materials and guidance documents to support staff understanding of regulatory processes and expectations.
• Department Operations
• Support the development and maintenance of department infrastructure and governance tools.
• Serve as an advanced resource to staff on regulatory processes, contract requirements, and program-specific protocols.
• Participate in cross-functional forums and collaborative initiatives with external partners (e.g., OHA, CMS, Health Share, CCO Oregon).
• Organizational Responsibilities
• Perform work in alignment with the organization’s mission, vision, and values.
• Support equity, diversity, and inclusion by fostering a culture of open-mindedness, cultural awareness, compassion, and respect.
• Strive to meet annual business goals in support of the organization’s strategic priorities.
• Adhere to organizational policies, procedures, and compliance standards.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level