Regulatory Affairs & Compliance Manager, Covered California

CalOptima; Orange (CA); Híbrido; USD 110.000 - 176.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Partial Telework

Competitive compensation

Comprehensive benefits package

Pension program / retirement options

Descripción de la vacante

CalOptima Health seeks a Manager Regulatory Affairs and Compliance (Covered California) to lead regulatory relationships with Covered California, DMHC and CMS. You will direct filings, audits and corrective actions while guiding a team to meet compliance goals and organizational strategy.

The role requires 5 years in regulatory affairs within healthcare, including Covered California, and 3 years of leadership. Partial telework is approved with in-state presence required at Orange, CA.

Formación

• Bachelor's degree in a health care related field plus 5 years with regulatory agencies and managed care required.
• 3 years of compliance experience focused on Covered California within a managed care health plan.
• 3 years of progressive leadership or supervisory experience.

Responsabilidades

• Lead CalOptima Health's regulatory relationships with Covered California, DMHC and CMS.
• Manage regulatory filings, reporting, audits and corrective action plans.
• Oversee day-to-day department activities and team development.
• Collaborate with leadership to align regulatory objectives with organizational strategy.
• Prepare updates for management, Board of Directors and Compliance Committee.

Conocimientos

Regulatory affairs

Compliance

Leadership

Communication

Project management

Stakeholder engagement

Educación

Bachelor's degree in health care related field

Descripción del empleo

CalOptima Health seeks a Manager Regulatory Affairs and Compliance (Covered California) to lead regulatory relationships with Covered California, DMHC and CMS. You will direct filings, audits and corrective actions while guiding a team to meet compliance goals and organizational strategy.

The role requires 5 years in regulatory affairs within healthcare, including Covered California, and 3 years of leadership. Partial telework is approved with in-state presence required at Orange, CA.