Senior Director of Regulatory Affairs

3 days ago


New York, United States Tandym Group Full time

A leading healthcare organization in New York City is seeking a Senior Director of Regulatory Affairs to join their team. This key leadership role offers the opportunity to oversee a team of regulatory professionals while managing and interpreting regulatory requirements across the organization's portfolio, ensuring compliance and alignment with federal, state, and local laws.

*This is a hybrid position, offering a primarily remote work environment with occasional in-office requirements as needed.

Responsibilities:

The Senior Director of Regulatory Affairs will be responsible for:

  • Leading and supervising the Regulatory Affairs unit to analyze, interpret, and communicate new regulatory requirements across the organization
  • Ensuring regulatory updates and product contract changes are disseminated to appropriate stakeholders
  • Providing regulatory support, interpretation, and clarification from regulatory bodies while communicating key issues to internal divisions
  • Partnering with Compliance teams to understand and implement Federal, State, and Local regulations
  • Establishing protocols for overseeing the implementation of new rules, including service carve-ins for insurance products
  • Developing actionable communications to inform stakeholders of regulatory changes and their impact
  • Collaborating with Compliance teams on external audits and surveys, such as NYS Department of Health Article 44 program audits
  • Engaging with regulatory agencies and trade associations and managing external regulatory complaints and fair hearings
  • Supporting business leaders in understanding regulatory changes and achieving organizational goals
  • Anticipating policy trends and coordinating advocacy strategies with government relations
  • Driving team success, engagement, and professional development to address complex regulatory challenges

Qualifications:

  • Bachelor's degree
  • Minimum 10 years of experience working with Medicare and Medicaid laws/regulations in a managed care compliance or regulatory department, including holding a senior position
  • In-depth knowledge of health law, managed care regulations, and compliance programs
  • Expertise in healthcare administration standards, health plan operations, and regulatory frameworks
  • Strong leadership skills with the ability to direct and supervise personnel effectively
  • Proven experience building relationships across business groups and external stakeholders
  • Excellent strategic thinking and problem-solving skills to address complex regulatory issues

Desired Skills:

  • Advanced degree in health administration, public health, or law
  • Experience with policy advocacy and government relations
  • Strong communication and interpersonal skills to engage diverse stakeholders effectively


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