Regulatory Affairs Manager, Commercial Health Plans Hybrid

VIVA HEALTH; Birmingham (AL); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

401(k) Savings Plan with company match

Paid Time Off

9 Paid Holidays + Floating Holiday

Tuition Assistance

Flexible Spending Accounts

Life Insurance and Disability

Job summary

VIVA HEALTH, based in Birmingham, AL, seeks a Manager, Regulatory Affairs to lead the organization’s compliance with commercial health plan regulations. The role collaborates with Clinical, Commercial Sales, Account Services, and leadership to align regulatory requirements with business goals.

The position serves as a key contact for federal and state regulators, provides guidance to employer groups, and represents Viva Health to trade groups.

Qualifications

• 5+ years in health insurance regulatory affairs and compliance.
• 5+ years in a supervisory or leadership role.
• Ability to read and interpret federal and state regulations.
• Strong analytical and data-driven decision-making skills.
• Excellent written and verbal communication with senior leaders.
• Experience with MHPAEA, ACA, No Surprises Act and ERISA.

Responsibilities

• Lead activities to ensure regulatory compliance for the commercial line, including ACA, MHPAEA, Transparency in Coverage, No Surprises Act, and ERISA.
• Oversee required regulatory reporting to state and federal regulators with data submissions.
• Maintain updates to MH parity analyses and ensure regulatory alignment.
• Lead audits and drive corrective actions to mitigate risks.
• Liaise with regulators and advocate for Viva Health’s practices and standards.
• Communicate guidance to clients and stakeholders; draft corporate responses to proposed rules.
• Develop policies, procedures, and business continuity plans for regulatory compliance.
• Lead training programs on regulatory standards and commercial benefits.

Skills

Regulatory affairs

Regulatory compliance

Leadership

Regulatory analysis

Regulatory reporting

Policy interpretation

Communication skills

Data analysis

Strategic thinking

Education

Master’s degree in health policy or public policy

Juris Doctor

Tools

PowerPoint

Word

Adobe Acrobat Pro

Excel

Job description

VIVA HEALTH, based in Birmingham, AL, seeks a Manager, Regulatory Affairs to lead the organization’s compliance with commercial health plan regulations. The role collaborates with Clinical, Commercial Sales, Account Services, and leadership to align regulatory requirements with business goals.

The position serves as a key contact for federal and state regulators, provides guidance to employer groups, and represents Viva Health to trade groups.