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Senior Regulatory Implementation Specialist

2 months ago

Juneau, Alaska, United States Highmark Health Full time
Job Summary

We are seeking a highly skilled Senior Regulatory Implementation Specialist to join our team at Highmark Health. This role will be responsible for leading large projects and initiatives related to risk case management and intake activities, ensuring compliance with various regulatory frameworks and oversight bodies.

Key Responsibilities
  • Lead large team projects or initiatives involving a global team of specialists, ensuring timely and effective implementation of regulatory requirements.
  • Coordinate with impacted departments to identify necessary changes to policies, procedures, processes, and technology based on regulatory requirements.
  • Translate and communicate compliance requirements into business and technical requirements for impacted stakeholders and systems.
  • Provide regular executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required.
  • Support all external audits of the organization, ensuring compliance with applicable laws and organizational policies.
  • Standardize documentation and tracking of audits, market conduct exams, regulatory reviews, and external accreditation assessments of the organization.
  • Prepare and/or provide status reporting to Risk Partners, accountable management, and the Audit Committee of the Board of Directors as necessary.
Requirements
  • Bachelor's degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field.
  • 5 years of interacting with regulators, auditors, and/or oversight bodies.
  • 5 years of increasing accountability and/or progressive role, preferably in an audit or compliance discipline in a healthcare or healthcare-related industry.
Preferred Qualifications
  • Master's degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, Computer, Information Science, or related field.
  • Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), Juris Doctor (JD), or Healthcare Compliance Certification (CHC).
What We Offer

Highmark Health offers a competitive salary range of $67,500.00 to $124,800.00, depending on qualifications and experience. We are an equal opportunity employer and welcome applications from diverse candidates.