Senior Network Adequacy & Compliance Manager

State-of-Georgi; Atlanta (GA); On-site; USD 75,000 - 100,000; Full time

Job summary

State of Georgia is seeking a Network Adequacy Manager within the Insurance Department to lead compliance with federal and state network adequacy standards, including CMS requirements. You will oversee analytics, staff and vendors, and deliver quarterly reviews to leadership on statewide adequacy trends.

The role requires knowledge of GA network adequacy regulations and CMS guidelines, plus experience in coordinating with CMS, NAIC, and external consultants. Competitive salary and benefits.

Qualifications

• Bachelor's degree in a related field is required.
• Three years in a managerial role or seven years in the area with three years in a managerial role.

Responsibilities

• Ensure issuer compliance with federal and state network adequacy standards.
• Oversee analytical activities and supervise staff and vendor partners.
• Produce quarterly and annual adequacy analyses and leadership briefings.

Education

Bachelor's degree in a related field

Regulatory/compliance experience

Tools

CMS & NBPP knowledge

Job description

State of Georgia is seeking a Network Adequacy Manager within the Insurance Department to lead compliance with federal and state network adequacy standards, including CMS requirements. You will oversee analytics, staff and vendors, and deliver quarterly reviews to leadership on statewide adequacy trends.

The role requires knowledge of GA network adequacy regulations and CMS guidelines, plus experience in coordinating with CMS, NAIC, and external consultants. Competitive salary and benefits.