Health Plans Regulatory Affairs Program Lead

CHRISTUS Health; Irving (TX); On-site; USD 110,000 - 140,000; Full time

Job summary

CHRISTUS Health is seeking a Program Manager for Health Plans Regulatory Affairs in Irving, TX. The role supports implementing and maintaining the Compliance Program and coordinates internal audits, training, and regulatory education across Health Exchange and Medicare lines of business.

The candidate will monitor risk, respond to regulatory inquiries, and partner with leadership to drive efficient processes. Requires a Bachelor’s degree and 4–6 years of related experience.

Qualifications

• Bachelor's Degree in Related Field of Study or equivalent years of work experience required.

Responsibilities

• Meets expectations of the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Review and research laws and regulations to ensure compliant responses for Medicare Advantage and Health Exchange lines of business.
• Monitor Health Plan progress in resolution of issues from risk assessments and audit findings.
• Analyze and report risk-related trends to the Compliance Committee.
• Perform internal monitoring and audits based on risk level.
• Support implementation of consistent processes to enhance day-to-day compliance.
• Provide specialized education and development of training materials.
• Follow up on action items from audit requests and compliance issues.
• Collaborate with Regulatory Affairs to streamline cross-line processes.
• Cross-train the regulatory affairs team on compliance tasks.
• Maintain excellent interpersonal communication with Senior Leadership and associates.
• Facilitate resolution of issues to support a high-performing team.
• Manage project/monitoring work plans to achieve goals and objectives.
• Coordinate assigned projects and prepare updates for leadership and regulatory bodies.
• Serve as Project Manager on external audits conducted by regulatory bodies.
• Provide regulatory guidance for Health Exchange and Medicare Lines of Business.
• Perform other duties as assigned.

Education

Bachelor's Degree in Related Field of Study

Job description

CHRISTUS Health is seeking a Program Manager for Health Plans Regulatory Affairs in Irving, TX. The role supports implementing and maintaining the Compliance Program and coordinates internal audits, training, and regulatory education across Health Exchange and Medicare lines of business.

The candidate will monitor risk, respond to regulatory inquiries, and partner with leadership to drive efficient processes. Requires a Bachelor’s degree and 4–6 years of related experience.