A healthcare organization in New York City is seeking a Director of Regulatory Compliance Operations to lead regulatory approvals, submissions, and compliance with all regulatory guidelines. This role ensures alignment with applicable requirements across all lines of business through oversight of regulatory communications and policy processes.
*This is a remote role with minimal office time as needed.
Responsibilities:
The Director of Regulatory Compliance Operations will be responsible for:
Contributing to the annual risk assessment plan with Compliance teams to identify potential compliance issues across the organization
Overseeing the Regulatory Compliance Operations unit in managing regulatory submissions and the Policy and Procedure Program
Preparing and updating materials for compliance committees, including the Compliance Committee and the Board's Audit and Compliance Committee
Serving as the regulatory expert to ensure marketing practices align with regulatory guidelines
Acting as the primary liaison and managing correspondence with regulatory agencies for Plan submissions, including handling complex regulatory queries and advisory comments
Proposing effective, compliant regulatory strategies to support business objectives and reduce regulatory risk
Providing regulatory consultation for the development and execution of marketing strategies and promotional programs
Reviewing concepts and draft materials to ensure regulatory alignment
Keeping abreast of evolving regulations, advisory letters, and policy updates impacting managed care organizations
Continuously assessing departmental effectiveness, including people, processes, and technologies, to achieve corporate goals
Identifying improvement opportunities and generating solutions to enhance performance metrics
Leading complex projects and providing regulatory training and coaching for team members
Assisting the Vice President of Compliance with additional tasks as needed
Qualifications:
Bachelor's Degree
5+ years in managed care compliance or regulatory department with in-depth knowledge of managed care health plan regulations
2-3+ years of staff management experience, with a proven ability to coach and mentor
Experience with New York State managed care products is strongly preferred
Comprehensive knowledge of health law, managed regulation, and healthcare compliance programs
Familiarity with business administration, HR management principles, and healthcare organization standards
Desired Skills:
Master's in Healthcare or Communications
Relevant certifications
In-depth understanding of NY State managed care regulations