Manager Legislative And Regulatory Affairs

Profile

Manager Legislative and Regulatory Affairs

Responsibilities: Providing effective leadership for Health Plan in the areas of: federal and state legislative and regulatory analysis and implementation, regulatory affairs, and government relations for the Plan’s commercial and government lines of business. Responsible for identifying, tracking and conducting wide scope analyses of legislative and regulatory issues affecting Sharp Health Plan and advising senior leadership concerning their impact. Develops reports and makes recommendations based on this information. Develops approach and methodology for implementing new legislative and regulatory requirements, directs the development of comprehensive and detailed project plans, and oversees project execution. Represents and serves as point person for Sharp Health Plan to outside trade groups/stakeholders, including, but not limited to, the California Association of Health Plans (CAHP) and America’s Health Insurance Plans (AHIP). In collaboration with the Director of Compliance and Regulatory Affairs, advocates on behalf of Sharp Health Plan with outside trade groups/stakeholders and state and federal regulatory agencies. Cultivates positive relationships with regulators, including, the Center for Medicare & Medicaid Services (CMS) and the California Department of Managed Health Care (DMHC). In coordination with the Director of Compliance and Regulatory Affairs and the Compliance Officer, responds to inquiries from the CMS, the DMHC, and other regulatory bodies. Manages and participates in regulatory filings and reports, ensuring timely and accurate submissions. Develops and maintains subject matter expertise on legislative, regulatory and contractual issues affecting commercial and Medicare health plans in California. Promotes the satisfaction, development and productivity of department staff. Participates as a part of, and in support of, a management team that works collaboratively to ensure the success of Plan’s goals, objectives, and strategic initiatives.

Company info

Sharp Healthcare
3131 Berger Avenue Suite One
San Diego
California
United States 92123
Website : http://www.sharp.com