Supervisor, Regulatory Affairs

Jobtailor; Rancho Cucamonga (CA); On-site; USD 160,000 - 210,000; Full time

Job summary

Jobtailor seeks a Senior Regulatory Affairs Manager to lead and oversee the regulatory function within a managed care context in California.

You will mentor a team, manage regulatory submissions with CMS, DHCS, DMHC and Covered California, and drive enterprise-wide compliance and audit readiness through collaboration across functions. Required are a Bachelor's degree, CHC preferred, with ability to travel within the US as needed.

Qualifications

• Minimum 3 years in a managed care health plan or related field with CMS/DHCS/DMHC knowledge.
• Experience engaging with regulatory agencies and managing inquiries/submissions.
• Solid understanding of Medi-Cal, Medicare, Title 19/22/28/42 regulations.

Responsibilities

• Provide leadership and operational oversight for the Regulatory Affairs function
• Manage day-to-day activities of regulatory compliance professionals
• Mentor, coach, and conduct performance reviews for direct reports
• Maintain compliance with CMS, DHCS, DMHC, and Covered California
• Serve as liaison to regulatory agencies and support regulatory interactions
• Analyze and interpret regulatory policy guidance for business units
• Collaborate cross-functionally to support enterprise-wide compliance and audits
• Monitor legislative and regulatory developments and communicate impacts
• Support regulatory audits, agency calls, and follow-up activities
• Oversee regulatory deliverables across lines of business
• Manage recruitment, skills development, performance evaluation, and workforce planning
• Design and implement standard work processes and quality controls (AI workflows)
• Support policy and procedure reviews and refinements
• Guide interpretation and implementation of evolving guidance and obligations
• Represent department on committees and regulator engagements
• Collaborate with Government Affairs on trade association inquiries
• Identify risks and develop corrective action plans
• Co-manage enterprise regulatory reporting calendar and submissions
• Perform other duties to support Health Plan operations

Skills

Regulatory leadership

Policy analysis

Project management

Cross-functional collaboration

Communication skills

Education

Bachelor's degree

Master's degree

CHC certification/eligible

Tools

Microsoft Office

AI Response Monitoring

Job description

• Provide leadership and operational oversight for the Regulatory Affairs function
• Manage day-to-day activities of a team of regulatory compliance professionals
• Evaluate, mentor, coach, and conduct performance reviews for direct reports
• Maintain organizational compliance with CMS, DHCS, DMHC, and Covered California requirements
• Serve as secondary liaison to regulatory agencies and support regulatory interactions
• Analyze and interpret regulatory policy guidance for Business Units
• Collaborate cross-functionally to support enterprise-wide compliance, risk mitigation, and regulatory audit readiness
• Monitor and communicate emerging legislative, regulatory, and administrative developments
• Support regulatory audits, agency calls, and follow-up activities
• Oversee regulatory deliverables across assigned lines of business
• Manage recruitment, skills development, performance evaluation, and workforce planning
• Design and implement standard work processes and quality controls, including AI response monitoring workflows
• Support policy and procedure review and refinement
• Guide interpretation, communication, and implementation of evolving regulatory guidance and contractual obligations
• Represent the department on internal and external committees, workgroups, and regulator engagements
• Collaborate with Government Affairs on trade association inquiries
• Identify regulatory risks and non-compliance and develop, implement, and track corrective action plans
• Co-manage the enterprise regulatory reporting calendar and ensure timely, accurate submissions
• Perform other duties required to support Health Plan operations and department business needs

Requirements

• Minimum of three (3) years of progressively responsible experience within a managed care health plan or closely related industry, with direct, hands-on expertise in compliance requirements established by CMS, DHCS, DMHC, and/or Covered California required
• Demonstrated experience engaging directly with regulatory agencies, including managing inquiries, submissions, and regulatory interactions
• Extensive experience in health care delivery systems, including Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Commercial Managed Care
• Bachelor's degree from an accredited institution required
• Master's degree from an accredited institution preferred
• Certified in Healthcare Compliance (CHC) or successful completion to obtain within one (1) year of employment
• Valid California Driver’s License preferred
• Demonstrated knowledge of advanced principles and practices of managed care operations
• Deep understanding of Federal and State regulatory frameworks governing Medi-Cal (Medicaid), Medicare, and related statutory and regulatory authorities, including Title 19 (USC) / Title 29 (USC and CFR), Title 22 (CCR), Title 28 (CCR), Title 42 (USC and CFR), California Welfare and Institutions Code (WIC), and the California Health and Safety Code
• Strong command of project management principles
• Demonstrated strong leadership capabilities and interpersonal skills
• Exceptional verbal and written communication skills
• Advanced analytical proficiency
• Strong organizational and prioritization skills
• Proficient in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook
• Ability to integrate and demonstrate the Plan’s mission, vision, and values
• Skilled in diplomacy and professionalism in complex and sensitive situations
• Ability to analyze multifaceted regulatory requirements and translate them into actionable guidance
• Highly resourceful with independent problem-solving, self-direction, and initiative
• Ability to build and sustain effective working relationships with internal departments and external agencies
• Ability to embrace, champion, and lead through organizational and regulatory change
• Ability to work autonomously and collaboratively within cross-functional teams
• Proven ability to manage multiple high-impact projects with competing deadlines and evolving priorities
• Exceptional attention to detail
• Occasional travel within the continental United States

Core Competencies

Demonstrates extensive knowledge of regulatory compliance within managed care health plans, including CMS, DHCS, DMHC, and Covered California requirements. Proven ability to lead teams, manage regulatory interactions, and implement effective compliance strategies.

Highest-signal resume keywords

• Regulatory Compliance Management
• Healthcare Compliance Certification (CHC)
• Project Management Principles
• Leadership and Team Development
• Regulatory Framework Knowledge

Hard Skills

• Regulatory Policy Analysis
• Compliance Requirements Evaluation
• Performance Review Conducting
• Quality Control ImplementationRegulatory Audit Support
• Data Analysis and Interpretation
• Corrective Action Plan Development
• Healthcare Delivery Systems Knowledge
• Medi-Cal and Medicare Regulations
• Organizational Compliance Monitoring

Soft Skills

• Interpersonal Skills
• Verbal and Written Communication
• Problem-Solving
• Organizational Skills
• Diplomacy and Professionalism

Certifications & Qualifications

• Certified in Healthcare Compliance (CHC)

Industry Keywords

• Managed Care Health Plan
• Medicaid Managed Care Plans
• Medicare Advantage
• Special Needs Plans
• California Health and Safety Code
• California Welfare and Institutions Code
• Federal and State Regulatory Frameworks
• CMS Compliance
• DHCS Compliance
• DMHC Compliance

Tools & Technologies

• Microsoft Office Suite
• AI Response Monitoring Workflows