AMERICAN CYBERSYSTEMS INC. Senior Director of Regulatory Affairs New York, New York Apply Now
Innova Solutions is immediately hiring for a Senior Director of Regulatory Affairs.
Position type: Full-timeDuration: Full TimeLocation: NYC
Position OverviewAs a Senior Director of Regulatory Affairs, you will manage a team of regulatory professionals who analyze new regulatory requirements, work closely with the business to understand the impact and obligations of those requirements, and support the business in understanding the evolving regulatory landscape. With wide latitude for individual initiative and decision making, the Senior Director of Regulatory Affairs is responsible for providing leadership and oversight of the Regulatory Affairs unit relating to all products offered by the organization, as well as leading other projects assigned by Executive Leadership.
Job Description
- Provide leadership and expertise in analysis and interpretation of complex and voluminous enacted laws (state and federal) across the portfolio of businesses.
- Direct and supervise the Regulatory Affairs unit to ensure that all new regulations and product contract updates are disseminated throughout the organization.
- Provide regulatory support to the organization, including providing regulatory interpretation and gaining clarification from regulatory bodies. Proactively communicate with internal divisions to become and remain educated about key regulatory issues affecting these areas.
- Lead continuous improvement of communication processes to better inform the enterprise of new legislation and regulatory agency directives.
- Assist the Compliance teams with understanding of Federal, State and Local regulations and product contract requirements.
- Establish protocols and guidelines for oversight of implementations of new rules/requirements, including carve-ins of services and populations to various insurance products.
- Develop and advise on comprehensive and actionable communications and content informing of regulatory analysis, changes, and impact, to facilitate stronger front-end compliance consistent with regulations.
- Partner with Compliance team on management of and response to external audits and surveys relating to NY State product offerings, including NYS Department of Health Article 44 program audits.
- Participate in engagement with Local, State, and Federal agencies, and Trade Associations.
- Oversee and manage workflows to ensure timely and appropriate resolution of Regulatory Complaints and Fair Hearings.
- Serve as leadership interface with internal departments (including sales, operations, product, pharmacy, communications, government affairs, legal) and external clients relating to regulatory matters.
- Demonstrate strategic mindset to deliver value to business teams.
- Support and coordinate with business leaders on regulatory changes to drive achievement of business goals and clarity of regulator expectations.
- Anticipate policy and emerging regulatory trends and coordinate advocacy strategies with government relations team.
- Cultivate and maintain solid collaborative relationships with business clients, regulators and MetroPlusHealth business partners.
- Drive team success, engagement, and development to resolve highly complex or unusual business problems.
Minimum Qualifications
- Bachelor's degree required.
- Minimum ten years of experience working with Medicare and Medicaid laws/regulations, including having held a senior position in a managed care compliance or regulatory department, and must possess detailed knowledge of the rules governing managed care health plans.
- Thorough knowledge in the application of health law and policy, managed regulation and compliance programs and/or the fundamentals of healthcare organization, administration and standards, regulations and law applicable to health plan operations.
- Knowledge of business and human resources administration principles, management functions, management processes and functions of health plan departments.
- Ability to direct and supervise personnel.
- Experience building relationships across business groups internally and outside the organization.
Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
Thank you!Haley McGurkSenior Recruiter...@innovasolutions.com
PAY RANGE AND BENEFITS:
Pay Range: $200,000Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Innova Solutions offers benefits (based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.
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