Remote Director, Operations Regulatory & Accuracy Assurance

Ladders

United States

Remote

USD 113,000 - 198,000

Full time

13 hours ago
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Benefits offered by this job

Flexible work arrangements
Professional development
Total rewards package
Supportive environment

Job summary

Ladders is seeking a Director, Operations Regulatory and Accuracy Assurance Oversight to join a leader in the Finance & Insurance space. This role oversees operations regulatory assurance and accuracy governance across a complex managed care environment, partnering with Compliance, Regulatory, Legal, and Audit teams to strengthen oversight and ensure compliance with applicable laws.

The position emphasizes driving automation, workflow redesign, and audit capabilities that improve accuracy,

Qualifications

  • Bachelor's degree in business or related field required.
  • Master's degree preferred.
  • 5 years healthcare operations experience, incl. 3 years in Government Program products.
  • 5 years leadership experience.
  • Experience in operational accuracy assurance and quality auditing.
  • Proven track record transforming operations via automation and workflow redesign.
  • Knowledge of compliance and regulatory requirements for managed care and government programs.
  • CHC certification preferred.

Responsibilities

  • Serve as the Operations liaison with Compliance, Regulatory, Legal, and Audit leaders
  • Represent Operations with regulators and auditors, coordinating responses and audits
  • Partner with leaders to interpret and implement laws and regulations
  • Lead independent auditing of operational outcomes and processes
  • Establish automated auditing capabilities to enhance monitoring and governance
  • Transform Operations teams to improve automation, accuracy, and efficiency
  • Monitor regulatory changes and communicate impacts across Operations

Skills

Regulatory leadership
Automation
Auditing
Governance
Compliance knowledge
CHC (preferred)

Education

Bachelor's degree in business or related field
Master's preferred

Job description

Ladders is seeking a Director, Operations Regulatory and Accuracy Assurance Oversight to join a leader in the Finance & Insurance space. This role oversees operations regulatory assurance and accuracy governance across a complex managed care environment, partnering with Compliance, Regulatory, Legal, and Audit teams to strengthen oversight and ensure compliance with applicable laws.

The position emphasizes driving automation, workflow redesign, and audit capabilities that improve accuracy,

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