Health Plan Compliance & Regulatory Lead

University-Health-3; San Antonio (TX); On-site; USD 70,000 - 110,000; Full time

Job summary

University-Health-3 is seeking a Compliance & Regulatory Specialist to assist in overseeing compliance across the health plan’s operations and regulatory reporting. The role focuses on ensuring adherence to Texas Medicaid regulations, TDI requirements, and CMS guidelines.

This position will help coordinate regulatory deliverables and interpret rule changes with HIPAA considerations. The candidate will build and nurture relationships with regulators and internal teams to drive transparency,

Qualifications

• Bachelor's degree or equivalent experience in healthcare/administration or related field.
• Proficiency in Microsoft Office applications.

Responsibilities

• Assist in oversight and execution of compliance in health plan operations and regulatory reporting.
• Coordinate regulatory deliverables and interpret changes in regulations and guidelines, including HIPAA.
• Build relationships with regulatory agencies and internal stakeholders to improve transparency and accountability.

Skills

Regulatory compliance

Regulatory reporting

Stakeholder relationship management

Education

Bachelor's degree in business administration, public administration, health care administration or related field

Tools

Microsoft Office

Job description

University-Health-3 is seeking a Compliance & Regulatory Specialist to assist in overseeing compliance across the health plan’s operations and regulatory reporting. The role focuses on ensuring adherence to Texas Medicaid regulations, TDI requirements, and CMS guidelines.

This position will help coordinate regulatory deliverables and interpret rule changes with HIPAA considerations. The candidate will build and nurture relationships with regulators and internal teams to drive transparency,