A leading healthcare organization in New York City is seeking a Senior Director of Regulatory Affairs to join their team. This key leadership role offers the opportunity to oversee a team of regulatory professionals while managing and interpreting regulatory requirements across the organization's portfolio, ensuring compliance and alignment with federal, state, and local laws.
*This is a hybrid position, offering a primarily remote work environment with occasional in-office requirements as needed.
Responsibilities:
The Senior Director of Regulatory Affairs will be responsible for:
Leading and supervising the Regulatory Affairs unit to analyze, interpret, and communicate new regulatory requirements across the organization
Ensuring regulatory updates and product contract changes are disseminated to appropriate stakeholders
Providing regulatory support, interpretation, and clarification from regulatory bodies while communicating key issues to internal divisions
Partnering with Compliance teams to understand and implement Federal, State, and Local regulations
Establishing protocols for overseeing the implementation of new rules, including service carve-ins for insurance products
Developing actionable communications to inform stakeholders of regulatory changes and their impact
Collaborating with Compliance teams on external audits and surveys, such as NYS Department of Health Article 44 program audits
Engaging with regulatory agencies and trade associations and managing external regulatory complaints and fair hearings
Supporting business leaders in understanding regulatory changes and achieving organizational goals
Anticipating policy trends and coordinating advocacy strategies with government relations
Driving team success, engagement, and professional development to address complex regulatory challenges
Qualifications:
Bachelor's degree
Minimum 10 years of experience working with Medicare and Medicaid laws/regulations in a managed care compliance or regulatory department, including holding a senior position
In-depth knowledge of health law, managed care regulations, and compliance programs
Expertise in healthcare administration standards, health plan operations, and regulatory frameworks
Strong leadership skills with the ability to direct and supervise personnel effectively
Proven experience building relationships across business groups and external stakeholders
Excellent strategic thinking and problem-solving skills to address complex regulatory issues
Desired Skills:
Advanced degree in health administration, public health, or law
Experience with policy advocacy and government relations
Strong communication and interpersonal skills to engage diverse stakeholders effectively