Hybrid Assistant Director, Regulatory Ops & Compliance

Cambia Health Solutions, Inc.; Fargo (ND); Hybrid; USD 128,000 - 173,000; Full time

Benefits offered by this job

Health benefits

401(k) plan with match

Paid time off

Parental leave

Job summary

Cambia Health Solutions, Inc. is seeking an Assistant Director of Clinical Regulatory Operations to lead a regulatory compliance team across HSO programs.

The role partners with clinical, legal, compliance, and analytics teams to ensure CMS, state, NCQA, HIPAA/privacy, and contract requirements are met while driving efficiency and quality. The position requires strong experience in improvement science, program maturity, and oversight of audits, monitoring, and remediation across multiple

Qualifications

• 5 years of leadership experience.
• 7 years of health insurance or managed care experience in regulatory compliance, quality, or clinical operations.

Responsibilities

• Identify and operationalize new and evolving regulatory requirements across HSO programs.
• Design and implement regulatory compliance programs using PDSA, Lean, Six Sigma.
• Establish audit and monitoring processes with dashboards and real-time reporting.

Skills

CMS compliance

State compliance

NCQA compliance

HIPAA/Privacy

Contract compliance

Education

Bachelor's degree in healthcare administration or related field

Master's degree preferred

Job description

Cambia Health Solutions, Inc. is seeking an Assistant Director of Clinical Regulatory Operations to lead a regulatory compliance team across HSO programs.

The role partners with clinical, legal, compliance, and analytics teams to ensure CMS, state, NCQA, HIPAA/privacy, and contract requirements are met while driving efficiency and quality. The position requires strong experience in improvement science, program maturity, and oversight of audits, monitoring, and remediation across multiple