Assistant Director, Regulatory Operations - Hybrid Leader

Cambia Health Solutions; Fargo (ND); Hybrid; USD 114,000 - 188,000; Full time

Benefits offered by this job

401(k) match

Paid time off

Work from home

Job summary

Cambia Health Solutions is seeking an Assistant Director of Clinical Regulatory Operations, hybrid with in-office cadence. You will lead a regulatory operations team, partner with Regulatory Affairs and Legal, and drive compliance across CMS, state, NCQA, and HIPAA requirements while applying improvement science to optimize efficiency and member experience.

You will develop monitoring, auditing, and reporting frameworks, lead NCQA readiness, and manage budgets and staffing for a large team

Qualifications

• Bachelor's degree in Healthcare Administration, Nursing, Public Health, or related field (Master's preferred).
• 5 years of leadership experience.
• 7 years of health insurance or managed care experience focused on regulatory compliance, quality management, or clinical operations.

Responsibilities

• Lead regulatory operations programs to ensure CMS, state, NCQA, HIPAA/privacy, and contract compliance.
• Design and implement monitoring, auditing and reporting programs in a health plan context.
• Collaborate across regulatory stakeholders to operationalize evolving requirements.
• Drive improvement science to move operations toward sustainable excellence.
• Build scalable processes across multiple teams and lines of business to reduce redundancy and enable standardization.
• Manage budget, staffing, and project plans; guide hiring and development of teams.

Skills

CMS compliance

Regulatory knowledge

Data analytics

Leadership

Communication

Education

Bachelor's degree in Healthcare Admin/Public Health

Master's degree preferred

Tools

Dashboard software

Workflow automation

Job description

Cambia Health Solutions is seeking an Assistant Director of Clinical Regulatory Operations, hybrid with in-office cadence. You will lead a regulatory operations team, partner with Regulatory Affairs and Legal, and drive compliance across CMS, state, NCQA, and HIPAA requirements while applying improvement science to optimize efficiency and member experience.

You will develop monitoring, auditing, and reporting frameworks, lead NCQA readiness, and manage budgets and staffing for a large team