8 yrs required
Oakland, CA, United States
Director, Regulatory Strategy & Contracts
Duties: Develop, manage and implement regulatory strategy to maintain existing product lines or support entry into new markets upon creation of new products. Responsible for the direction and ensuring regulatory compliance with government requirements and (or similar department’s) contractual obligations in support of the Department’s goals and the organization’s mission/vision. Develop guidance for adherence of (or similar department’s) contractual requirements; synchronize with industry standard and other high risk areas. Establishes a strong program for effective partnership with regulatory bodies; national operations; national and regional product development areas; rating and actuarial divisions and national and regional sales and marketing departments. Coordinates site visits for regulators, coordinates implementation and compliance with corrective action plans, as needed. Researches current and upcoming federal and state regulatory guidelines, laws and statutes; compliance issues and recommends changes and/or analyzes impacts to assure compliance with contract obligations. Acts as point of contact and liaison for all Regulatory Agency audits providing logistical coordination, schedules, requested reports and information and acts as departmental representative in communicating and interfacing; with compliance areas and outside agencies on regulatory issues. Ensures all relevant external regulatory requirements are identified and develops processes to disseminate information on regulatory compliance requirements to appropriate personnel. Engage external regulatory and legislative bodies on developing regulations, passage of laws in support of the organization’s strategic direction. Plan oversight on regulatory filings and monitoring operation functions such as benefit management and Plan Operations such as enrollment, premium billing, member service, etc, claims processing, and quality improvement. Direct reports are usually managers. Reports to Executive Director or VP. Purview is multiple units or departments and/or a geographic or functional area. Oversees the implementation of tactical solutions which support strategic plans. Drives strategic direction. Change Leader. Ensures the day to day operation and management of assigned regulatory services, in accordance with contract, all applicable regulatory requirements and laws, and policies and procedures. Establishes strategy and tactics within area of responsibility, and may contribute to the formulation of a national strategic goal for KPIC. Drives change, process improvements and cultural transformation and acts as change leader. Encourages management development by providing opportunities for leadership and working with leaders throughout the organization. Recommends sponsorship opportunities and acts as sponsor. Ensures plans in place to accomplish area goals, results tracked and resources appropriately allocated across area of responsibility. Monitors the results of functional area and processes. Reviews and integrates business processes to achieve business results and appropriate solutions for customers. Manages financial aspects of the organizational area; accountable for direct budget. May provide financial projections for strategic plans or forecast for future years. Manages HR/People processes for the organizational area including performance reviews/management, resource management, planning, objective setting/alignment, employee development/coaching and training. Support program management responsibilities across the organization for large and complex programs and/or projects. Create value and increase program value through efficient delivery using best practice management tools. Analyze complex work processes (involving multiple stakeholders or organizations) for improvement opportunities.
Job Number: 814403
One Kaiser Plaza 8th Floor
United States 94612
Website : http://www.kaiserpermanente.org