Regulatory & Payer Ops Leader - Multi-Location

Coloplast; Minneapolis (MN); On-site; USD 95,898 - 143,847; Full time

Benefits offered by this job

Health and Wellness

Financial Security

Work-Life Balance

Professional Development

Recognition and Rewards

Community and Culture

Competitive Compensation

Job summary

Coloplast seeks a Manager, Regulatory & Payer Operations Support in Minneapolis, MN to lead and develop the Regulatory & Payer Operations Specialists. The role ensures regulatory readiness, payer operations excellence, audit support, and compliance across locations.

The candidate will monitor payer changes, coordinate implementations, oversee insurance verification and prior authorizations, and drive actionable metrics and dashboards.

Qualifications

• Minimum 5 years of experience in healthcare reimbursement, payer operations, regulatory affairs, compliance, revenue cycle, or healthcare operations.
• Minimum 2 years of leadership experience.
• Minimum 2 years of DME experience.
• Experience managing audits, compliance programs, or payer operations functions.
• Knowledge of Medicare, Medicaid, and commercial payer processes.
• Strong communication, analytical, organizational, and project management skills.
• Proficiency in Microsoft Office applications.

Responsibilities

• Lead, coach, and develop Regulatory & Payer Operations Specialists.
• Coordinate staffing and ensure coverage across locations.
• Oversee staffing, performance, training, and workforce planning.
• Ensure CMS, Medicaid, accreditation, licensing compliance and survey readiness.
• Monitor regulatory and payer changes and coordinate implementation.
• Oversee insurance verification, benefits investigation, and prior authorization.
• Escalate and resolve payer, eligibility, authorization, and reimbursement issues.
• Direct team in support of audit response and medical record retrieval.
• Develop operational metrics, reporting, and dashboards.
• Partner with Revenue Cycle, Compliance, Operations, Credentialing, and Payer Relations leadership.

Skills

Leadership

Regulatory affairs

Payer operations

Audits

Project management

Communication

Microsoft Office

Education

Bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related fields

Tools

Microsoft Office

Job description

Coloplast seeks a Manager, Regulatory & Payer Operations Support in Minneapolis, MN to lead and develop the Regulatory & Payer Operations Specialists. The role ensures regulatory readiness, payer operations excellence, audit support, and compliance across locations.

The candidate will monitor payer changes, coordinate implementations, oversee insurance verification and prior authorizations, and drive actionable metrics and dashboards.