Director of Governmental Affairs

Overview

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

• 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.

• 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