Senior Manager, Regulatory Affairs

Summary

Join Harbor Health's dynamic team as a Senior Manager of Regulatory Affairs! This pivotal role ensures regulatory compliance for our health plan business. You will manage regulatory filings, conduct research, monitor legislation, and disseminate updates to internal teams. Collaboration with various departments is key to integrating regulatory considerations into all aspects of health plan management. This position requires a Bachelor's degree, 5+ years of experience in health insurance regulatory affairs, and strong analytical and communication skills. Harbor Health offers a competitive salary and benefits package, professional development opportunities, and a collaborative work environment.

Requirements

• Obtain a Bachelor’s degree in Health Administration, Public Policy, Law, or a related field
• Have a minimum of 5 years in regulatory affairs or compliance within the health insurance industry, with a proven track record of managing complex regulatory issues
• Demonstrate proficiency in navigating regulatory databases, preparing and submitting filings, and interpreting state and federal health insurance regulations
• Possess strong analytical and problem-solving skills, excellent written and verbal communication abilities, and a capacity to work effectively under pressure
• Be detail-oriented with a high level of accuracy, proactive in managing potential regulatory issues, and capable of influencing cross-functional teams

Responsibilities

• Manage Regulatory Filings: Oversee the preparation and submission of regulatory filings, ensuring accuracy and compliance with all federal and state laws. Facilitate the organization’s response to regulatory inquiries or actions
• Conduct Regulatory Research: Perform thorough regulatory research to support policy development and decision-making. Stay updated on changes in the regulatory environment, with particular focus on the Texas market, that could impact various aspects of the health plan business
• Monitor Legislation and Rulemaking: Track and analyze state and federal rulemaking, legislative changes, and industry trends that could affect the organization. Translate complex regulatory language into actionable information for senior management
• Disseminate Regulatory Updates: Effectively communicate relevant regulatory changes and updates to internal teams to ensure company-wide compliance. Develop internal resources, such as newsletters or briefs, to aid in the dissemination of critical regulatory information
• Collaborate Across Departments: Work closely with other departments, including legal, compliance, operations, and product development teams, to ensure regulatory considerations are integrated into all aspects of health plan management and operations
• Support Compliance Initiatives: Assist in the design and enhancement of compliance frameworks to meet regulatory requirements. Support the compliance team in internal audits and reviews to identify compliance and regulatory risks and opportunities for improvement

Preferred Qualifications

• Obtain a Graduate degree in health policy, law, business, or related field
• Have experience with Medicare, Medicaid, or other government-sponsored programs
• Possess advanced knowledge of the Affordable Care Act, ERISA, HIPAA, and other relevant healthcare laws and regulations
• Obtain Certification in Healthcare Compliance (CHC) or similar credentials
• Possess leadership skills with the ability to mentor and guide team members, and exceptional stakeholder management capabilities

Benefits

• Competitive salary and benefits package
• Professional development and growth opportunities