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
- Strong leadership and team-building skills
Remote Director of Regulatory Compliance Operations
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. The Director of Regulatory Compliance Operations will be responsible for:. Overseeing the Regulatory Complian...
Director of Plant Operations
As the Director of Plant Operations, you will oversee the company’s largest manufacturing facility. Champion a proactive safety culture, ensuring compliance with all health and safety regulations. Oversee P&L management, seeking opportunities to enhance profitability without compromising safety or q...
Director of Operations
The Director of Operations will serve as a critical leader responsible for driving operational excellence and strategic alignment for hth companies, overseeing $50 million (plus) in business and managing a workforce of over 300 employees in Missouri, Nebraska, and Iowa. Proficient with Microsoft Off...
Director of Operations
The Director of Operations will serve as a critical leader responsible for driving operational excellence and strategic alignment for hth companies, overseeing $50 million (plus) in business and managing a workforce of over 300 employees in Missouri, Nebraska, and Iowa. Proficient with Microsoft Off...
Remote Hotel Regional Director of Sales (RDOS) — Hilton & Marriott Experience Required
Remote Hotel Regional Director of Sales (RDOS) — Hilton & Marriott Experience Required. Sustain strong relationships with hotel partners through an open line of communication, periodic feedback and consultation, and timely resolution of issues. Three years of on-site hotel sales management exper...
Director of Operations
The Director of Operations will serve as a critical leader responsible for driving operational excellence and strategic alignment for hth companies, overseeing $50 million (plus) in business and managing a workforce of over 300 employees in Missouri, Nebraska, and Iowa. Proficient with Microsoft Off...
Director of Operations
The Director of Operations is the cornerstone for overseeing and optimizing the operational excellence of the dental offices. The Director of Operations will drive performance and growth, creating a positive and productive work environment. Ensure that all dental offices adhere to regulatory complia...
Director of Operations - CMS
Ensure franchisee compliance with all Standard Operating Procedures, Operations Assessment Report and Mystery Shop standards and develop corrective action plans, milestones and timetables where appropriate Assist franchisee with assessing talent and bench strength at all levels to achieve shor...
Director of Operations| Cable Dahmer Arena
Under the General Manager’s supervision, the Director of Operations is responsible for day-to-day facility operations including changeover, housekeeping, maintenance, event management, security, parking, guest services and Community Ice operations. Responsible for the oversight of the maintenance of...
Director of Operations (Full-Service Hotel)
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Join a world of possibility with Aimbridge Hospitality. Aimbridge Hospitality provides equal employm...