Director of Governmental Affairs

3 weeks ago


Los Angeles, United States Pailin Group Psc Full time

The Director of Government Affairs interprets and implements quality assurance standards to ensure regulatory compliance. Medical, Dental and Vision 401(k) Personal, Sick and Vacation Days Flexible Spending Account Life & Disability Insurance Education Assistance Employee Discounts Key Job Responsibilities: Responsible for representing Shield Healthcare to government and provider agencies, trade associations and lobbyists on both a local and national level Medicare and Medicaid (Medi-Cal) policy interpretation and clarification. Communication of policy changes to appropriate internal staff. Ensures regulatory compliance through participation in internal and external audits. Monitors regulatory agency policy changes and the organizational effects of such changes to include research and communication of findings to internal and external sources. Management of all reimbursement related issues and policies/procedures. Participate in focus groups which serve in an advisory capacity to various government agencies. Experience/Qualifications/Education: 4 years third party billing/collection/policy experience in healthcare services. 2 years management experience. Strong knowledge of Medicare, Medicaid, and Medi-Cal. Strong financial analysis and project management skills. Excellent written and verbal communication skills. Computer proficiency Well qualified professionals please forward current resume, salary requirements and interview availability in complete confidence to the Pailin Group PSC - Frank Sinclaire - Health Care Division Group Manager fsinclaire@pailingroup.com

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