Regulatory Implementation Director

2 weeks ago


Wisconsin, United States Highmark Health Full time

Job Summary:

Highmark Health is seeking a seasoned Regulatory Implementation Director to lead large projects and initiatives related to risk case management and intake activities in support of various frameworks and oversight bodies. The ideal candidate will have a strong background in regulatory compliance, risk management, and project management, with excellent communication and leadership skills.

Responsibilities:

  • Develop and implement complex regulatory implementation strategies for assigned legislative, regulatory, sub-regulatory, and licensing/accreditation requirements across multiple jurisdictions.
  • Collaborate with cross-functional teams, including risk and business partners, technology, and global delivery teams, to meet Highmark Health's mission requirements.
  • Standardize documentation and tracking of audits, market conduct exams, regulatory reviews, and external accreditation assessments.
  • Support external audits, ensuring compliance with applicable laws and organizational policies.
  • Standardize and expand internal and external risk intake, providing a streamlined, consistent point of entry for risk tracking, assessment, treatment, and monitoring.
  • Implement policies and procedures to facilitate a consistent, high-quality, confidential, and compliant service experience.
  • Leverage analytics programs, decision support systems, and standards to make logical and supported risk & regulatory implementation recommendations.

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.

Estimated Salary: $104,150.00

About Highmark Health:

Highmark Health is an equal opportunity employer committed to diversity and inclusion. We are dedicated to creating a workplace that is inclusive and respectful for all employees, regardless of their background, culture, or identity. If you are looking for a challenging and rewarding career opportunity, please consider joining our team.



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