Remote Regulatory Case Manager – Compliance Leader

MedPOINT Management; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Bonus based on performance

Company parties

Dental insurance

Employee discounts

Free food & snacks

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

Job summary

MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Regulatory Case Manager to ensure regulatory compliance and streamline case workflows in a fast-paced healthcare setting. You will oversee submissions, respond to inquiries, and collaborate with internal teams to meet deadlines.

This remote role offers opportunities for advancement and requires 2+ years in regulatory affairs or case management, with knowledge of DMHC/CMS guidelines and proficiency in case management software.

Qualifications

• 2+ years of experience in regulatory affairs, healthcare compliance, or case management.
• Strong knowledge of DMHC, CMS, or managed care guidelines.
• Excellent written and verbal communication skills with the ability to draft clear, professional correspondence.
• Proficiency in case management systems and Microsoft Office Suite.
• Strong organizational skills with the ability to manage multiple deadlines simultaneously.
• Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
• Detail-oriented, analytical mindset with a commitment to accuracy and compliance.

Responsibilities

• Manage and oversee regulatory cases from initiation through resolution, ensuring timely and compliant outcomes.
• Review, analyze, and process regulatory submissions, appeals, and grievances in accordance with state and federal guidelines.
• Coordinate with internal departments, providers, and external agencies to gather documentation and facilitate case resolution.
• Monitor regulatory deadlines and maintain accurate case tracking logs and reporting systems.
• Prepare written correspondence, case summaries, and regulatory reports for internal and external stakeholders.
• Ensure adherence to DMHC, CMS, and other applicable healthcare regulatory requirements.
• Identify trends in regulatory cases and recommend process improvements to enhance compliance operations.

Skills

Regulatory affairs

Healthcare compliance

Case management

Written communication

Organizational skills

Deadline management

Education

Bachelor's degree in Healthcare Administration, Business, or related field

Tools

Case management software

Microsoft Office

Job description

MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Regulatory Case Manager to ensure regulatory compliance and streamline case workflows in a fast-paced healthcare setting. You will oversee submissions, respond to inquiries, and collaborate with internal teams to meet deadlines.

This remote role offers opportunities for advancement and requires 2+ years in regulatory affairs or case management, with knowledge of DMHC/CMS guidelines and proficiency in case management software.