Senior Manager Regulatory Affairs

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Senior Manager, Regulatory Affairs
The candidate will lead the firm team responsible for organizing and producing deliverables in response to regulator audit and examination activity, by developing and deploying reproducible tools, techniques, and templates. Lead the Regulatory Complaints team responsible for producing deliverables in response to regulatory complaints. Furnish resources through a matrixed relationship to the Compliance and Operations Compliance staff of the firm insurance entities undergoing external audits by regulators and exchanges, and manage those resources directly where the firm is undergoing an external audit by its clients or strategic partners. Develop a calendar, archive, and attestation system – and other tools – to ensure that the firm teams are aware of their audit and reporting obligations, timely production of validated deliverables, and kept informed on each audit or report's progress and status. Establish protocols for relaying instances of identified noncompliance and any supporting detail to the wider Corporate Compliance team for remediation, and for relaying remedial activities to regulators. Develop regulatory relationships. Lead team to achieve targeted outcomes. Bachelor's Degree or 4+ years equivalent work experience is required. Master's Degree in a related field, or law degree (JD) is preferred. Should have 6+ years' experience in health care compliance, regulatory affairs, government affairs, legal or a similar field. Experience managing complicated projects, keeping track of details, and staging work to achieve projects on time is required. Experience conducting or undergoing regulatory audits, in the healthcare space is required. Experience with HIPAA, data privacy, and data security processes is a plus. Familiarity with ACA IFP plans, rules and regulations is a plus. Familiarity with Medicare Advantage rules and regulations, including the Medicare Managed Care Manual and Prescription Drug Benefit Manual, and CMS Program Audit protocols is needed. Familiarity with commercial insurance rules and regulations, including Market Conduct Examination protocols is preferred.

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