Clinical Regulatory Operations Leader

Cambia Health; Spokane (WA); Hybrid; USD 128,000 - 208,000; Full time

Benefits offered by this job

Work from home options

Medical, dental and vision coverage

401(k) with company match

Job summary

Cambia Health invites a seasoned leader to join the Clinical Regulatory Operations team in a hybrid capacity, guiding regulatory compliance across CMS, NCQA, HIPAA, and state requirements. You will partner with clinical, legal and regulatory stakeholders to drive improvements, standardize processes, and ensure sustainable remediation across multiple lines of business.

The role emphasizes implementing analytics-driven monitoring, leading accreditation efforts, and managing a large, multi-location

Qualifications

• Bachelor's degree in Healthcare Administration, Nursing, Public Health, or related field; Master’s preferred.
• 5 years leadership experience in health plan or managed care settings.
• 7 years experience in regulatory compliance, quality management, or clinical operations within health plan environments.

Responsibilities

• Partner with Regulatory Affairs, Quality, Legal, Compliance, and clinical owners to interpret and operationalize new regulatory requirements.
• Lead regulatory compliance programs using structured improvement models (PDSA, Lean, Six Sigma).
• Develop monitoring, auditing, and reporting processes with dashboards and automation.

Skills

Regulatory knowledge

Leadership

Compliance governance

Regulatory communication

Data analytics

Project management

Education

Bachelor's degree in Healthcare Administration, Nursing, Public Health, or related field

Master's degree preferred

Tools

Automation / dashboards

Six Sigma / Lean

Job description

Cambia Health invites a seasoned leader to join the Clinical Regulatory Operations team in a hybrid capacity, guiding regulatory compliance across CMS, NCQA, HIPAA, and state requirements. You will partner with clinical, legal and regulatory stakeholders to drive improvements, standardize processes, and ensure sustainable remediation across multiple lines of business.

The role emphasizes implementing analytics-driven monitoring, leading accreditation efforts, and managing a large, multi-location