Manager, Regulatory Compliance
New
100% remote work within the United States, multi-time-zone collaborationFull-TimeManager
Salary148,000 - 156,000 USD per year
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Job Details
- Experience
- 8+ years of experience in healthcare regulatory compliance, managed care, healthcare operations, or related field; 5+ years of progressive people leadership experience
- Required Skills
- HIPAA
Requirements
- Bachelor’s degree or equivalent combination of education and experience.
- 8+ years of experience in healthcare regulatory compliance, managed care, healthcare operations, or related field.
- 5+ years of progressive people leadership experience managing technical or compliance-focused teams.
- Strong knowledge of claims pricing, editing, and reference data concepts.
- Familiarity with Transparency in Coverage requirements, including MRF standards and pricing disclosure regulations.
- Ability to translate complex regulatory frameworks into clear, actionable operational guidance.
- Strong leadership skills including coaching, performance management, and team development.
- Excellent organizational skills with the ability to manage multiple priorities and regulatory deadlines.
- Strong written and verbal communication skills, with ability to simplify complex regulatory topics for diverse audiences.
- Experience in healthcare technology, SaaS platforms, or managed care environments is a plus.
- Familiarity with CMS regulations, HIPAA, HL7 FHIR, or interoperability standards is highly desirable.
Responsibilities
- Lead, coach, and develop a team of regulatory compliance professionals focused on claims pricing, reference data, and healthcare transparency requirements.
- Oversee workload distribution, prioritization, and delivery to ensure alignment with regulatory timelines and product release schedules.
- Interpret and operationalize federal and state regulatory requirements, translating them into clear guidance and actionable outputs for the team.
- Ensure accuracy and quality of regulatory deliverables, including system requirement specifications and client-facing documentation.
- Serve as escalation point for complex regulatory issues and guide resolution across pricing, editing, and reference data challenges.
- Partner with Product, Engineering, and Client Success teams to embed regulatory requirements into roadmap and sprint planning.
- Manage performance, career development, and onboarding for team members in a high-complexity compliance environment.
- Oversee regulatory monitoring and analysis across commercial, Medicare Advantage, and Medicaid lines of business.
- Represent regulatory compliance function in cross-functional discussions and client-facing engagements when required.
- Drive continuous improvement in processes, team capability, and delivery quality across regulatory operations.
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