Regulatory Affairs Specialist
4 weeks ago
We are seeking a highly skilled Regulatory Affairs Analyst to join our team at San Francisco Health Plan. As a key member of our Regulatory Affairs and Compliance department, you will play a critical role in supporting essential regulatory affairs functions.
Key Responsibilities- Audit results, processes impacting healthcare providers, and NCQA accreditation standards.
- Support activities relating to regulatory inquiries, regulatory filings, reporting, and implementation of new regulatory guidance.
- Maintain inventory of policies and procedures in the organization's P&P database.
- Translate policy issues and regulatory requirements to clear and concise P&Ps.
- Ensure all P&Ps are reviewed frequently and updated as necessary.
- Work with other departments to develop new policies and coordinate P&Ps development and revisions across impacted departments.
- Communicate requirements and P&P changes to applicable SFHP management and staff.
- Train SFHP staff on development, revisions, and maintenance of Policies, Procedures, and Desktop Procedures.
- Oversee and conduct internal audits as assigned.
- Serve as department liaison with State agencies.
- Draft and oversee State regulatory filings.
- Analyze and coordinate implementation of new regulations and legislation.
- Bachelor's degree or equivalent combination of education and work experience.
- Two years of experience in analyzing and interpreting healthcare laws, regulations, and policies.
- Strong working knowledge of State program regulations and HIPAA.
- Healthcare Compliance Certification and data experience in healthcare desired.
- Health Benefits
- Medical: heavily subsidized by SFHP.
- Dental: choice of basic or enhanced dental plan.
- Vision: employee vision care coverage through VSP.
- Retirement: employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
- Time off: 23 days of Paid Time Off (PTO) and 13 paid holidays.
- Professional development: opportunities for tuition reimbursement, professional license/membership.
Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable healthcare coverage to the underserved low and moderate-income residents in San Francisco County.
SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees, and its 175,000+ members have access to a full spectrum of medical services, including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.
San Francisco Health Plan is proud to be an equal opportunity employer, committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
San Francisco Health Plan is an E-Verify participating employer.
Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.
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