Senior Director, Clinical Regulatory Operations (Hybrid)

Cambia Health Solutions; Spokane (WA); Hybrid; USD 128,000 - 208,000; Full time

Benefits offered by this job

Health benefits

401(k) with company match

Paid time off

Work from home options

Job summary

Cambia Health Solutions is seeking an Assistant Director of Clinical Regulatory Operations to lead a regulatory compliance team within Health Services Operations. The role drives performance across CMS, NCQA, HIPAA/privacy, and contracts while enabling improvements in affordability, quality, and member experience.

The position requires strategic partnership with regulatory stakeholders and cross-functional business owners to scale monitoring, remediations, and simplification initiatives across

Qualifications

• Bachelor's degree in Healthcare Administration, Nursing, Public Health, or related field (Master's preferred).
• 5 years of leadership experience.
• 7 years of health insurance or managed care experience focused on regulatory compliance, quality management, or clinical operations.

Responsibilities

• Interpret evolving regulatory requirements and translate them into operational guidance.
• Standardize and streamline compliance practices across teams and lines of business.
• Lead audit, monitoring, and remediation programs with automation and dashboards.
• Oversee NCQA accreditation readiness and regulatory programs.
• Develop and manage budgets, staffing, and project plans.

Skills

Leadership experience

Regulatory knowledge

Improvement science

Data analytics

Project management

Cross-functional collaboration

Policy development

Team development

Communication skills

AI tools awareness

Education

Bachelor's degree in Healthcare Administration/Nursing/Public Health

Master's degree preferred

Tools

Dashboards

Workflow automation

Data visualization tools

AI tools

Job description

Cambia Health Solutions is seeking an Assistant Director of Clinical Regulatory Operations to lead a regulatory compliance team within Health Services Operations. The role drives performance across CMS, NCQA, HIPAA/privacy, and contracts while enabling improvements in affordability, quality, and member experience.

The position requires strategic partnership with regulatory stakeholders and cross-functional business owners to scale monitoring, remediations, and simplification initiatives across