Regulatory Manager

Delta Dental of Washington•Spokane, WA

3d•$71,411 - $101,623

About The Position

Are you passionate about navigating the complexities of regulatory compliance and excited by the opportunity to lead regulatory components of our standard portfolio of products, and regulatory processes for individual and group dental and ancillary products? In this role, you will manage our product and portfolio templates including oversight of their regulatory filings, Appeals, Complaints, and related operational projects. You will drive process improvements and lead a team to ensure accurate, timely, and compliant filings with the OIC, along with effective Appeals and Complaints resolution within established deadlines. Additionally, you’ll support the business in regulatory matters and ensure that filings and processes meet compliance standards and business needs. At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do – for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity. We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities. The pay range for this position in Eastern Washington varies between $71,411 - $101,623. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location. Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.

Requirements

5+ years of experience in a regulatory or compliance-based role within a regulated industry, such as healthcare, insurance, or finance.
Experience building and leading regulatory, contracts, or compliance teams.
Project management experience, particularly in implementing and optimizing regulatory systems, workflows, and processes.
Excellent communication and interpersonal skills, collaborate effectively and influence at all levels of the organization.
Solid understanding of regulatory and compliance requirements relevant to the industry (e.g., OIC regulations, contracting standards, etc. ).
Proven ability to listen, understand, and analyze complex regulatory issues, taking appropriate action when necessary.
Strong proficiency with business software platforms and document management systems.
Demonstrates integrity in all actions, consistently upholding ethical standards even in challenging situations, and skillfully navigating sensitive or difficult conversations with respect and professionalism.
Ability to assess regulatory risk and provide guidance to mitigate these risks.

Nice To Haves

Familiarity with Salesforce and Dental on Demand preferred.

Responsibilities

Leadership Build, mentor, and develop a dedicated team by providing strategic direction and opportunities for employee development, fostering teamwork, and accountability.
Collaborate cross-functionally to understand needs and support departmental and corporate projects that improve efficiency, accuracy, and overall effectiveness.
Represent department in project discussions, and cross-functional work groups, contributing insights to enhance organizational compliance, efficiency, and responsiveness.
Collaborate with the Director of Regulatory Operations to assess and address staffing requirements, ensuring alignment with operational goals and strategic priorities.
Build and maintain strong relationships with internal and external partners and regulators on regulatory, and compliance matters.
Regulatory Oversight Act as the primary liaison with regulatory agencies, managing complex inquiries, engaging proactively, and advocating for favorable outcomes.
Lead strategic oversight of standard portfolio filings with the Office of the Insurance Commissioner (OIC), ensuring alignment with evolving regulatory guidelines and proactively addressing compliance risks.
Engage proactively with legal counsel to navigate complex regulatory and compliance issues, driving strategic alignment with legal requirements, mitigating organizational risk, and supporting key business initiatives with informed, high-impact decision-making.
Collaborate with cross-functional teams (e.g., Product, Sales, Legal, and Operations) to integrate regulatory requirements into product design, ensuring compliance from ideation through launch.
Conduct thorough research to identify, interpret, and stay current with relevant regulatory requirements, policies, and industry standards.
Analyze complex regulatory information to assess impacts on organizational operations, projects, or decisions.
Develop and implement regulatory policies and strategies to ensure timely and appropriate filings, clear and appropriate communication with members, regulatory agencies, and internal stakeholders, and compliance with regulations to mitigate risk.
Partner across the organization to align regulatory processes with broader business goals, ensuring consistency and strategic integration across departments.
Act as a liaison for regulatory communications with DDWA stakeholders, plan administrators, and vendors.
Implement and maintain standardized process for documentation, compliance tracking, and Appeals and Complaint management.
Establish procedures for documentation and version control of regulatory files, correspondence with outside regulators, vendors, and internal partners.
Lead the regulatory oversight of the DeltaCare products, participate in and manage contractual components of annual code updates, compensation filings/changes, and exception requests from internal stakeholders to ensure alignment with regulatory standards and business objectives.
Oversee special filing types such as our Health Care Benefit Manager and leased network filings, ensuring timely, accurate submissions and compliance with regulatory requirements.
Operational Efficiency Collaborate with Regulatory, Compliance, and Contracts leadership team to identify inefficiencies in current processes, build, document, and implement improvements.
Manage the companywide Contract Language Workgroup (KLAW) workgroup and develop standardized template/product development and filing processes, ensuring coordination, compliance, efficiency, and implementation success across departments.
Manage the process for reviewing, resolving, and approving exception requests to policies or procedures from HCBMs, plan administrators, vendors, and internal stakeholders, escalating as needed and ensuring clear communication, accurate documentation, and compliance with requirements.
Monitor federal, state, and local regulations and partner with Leadership, Legal and Government Affairs to identify emerging risks, assessing potential impacts on business operations and developing mitigation strategies.
Establish performance metrics and reporting structures to monitor team performance, and compliance trends, translating insights into actionable strategies.
Oversee SERFF user management and permissions, as well as vendor billing and invoicing, ensuring compliance with regulatory and company standards.