Manager, Regulatory & Filing Operations

## Manager, Regulatory & Filing Operations Apply:
Remote-MO:
Full time:
Posted Today:
1665208
** Position

Purpose:

** Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit database). Responsible for quality of their functional area outputs. Regulatory oversight and advocacy positioning, as it relates to functional area. Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas. Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.
** Key Details**:
The role is fully remote within the United States.
* Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
** Manage the team’s review, interpretation, and summarization of current, proposed, and enacted legislation and/or regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership.
* Manage, coordinate, develop, monitor, and lead projects (regulatory or filing) internal to the department and cross-functional business partners, including product filings and submissions (CMS and State DOIs).
* Manage and perform quality assurance audits on department work product, including regulatory research, filings, member-facing policy documents, projects, and communications.
* Manage the maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population.
* Supervise and/or perform audit outputs from the Source of Truth system and/or document.
* Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for performance, quality improvement and growth development for staff.
* Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.
* Responsible for working with IT on system enhancements and/or fixes to the product benefit database.
* Manages staff working with IT on product benefit database.
* Performs other duties as assigned.
* Complies with all policies and standards.
** Education/

Experience:

*** Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/ or product filing or Qualified Health Plan (QHP documentation and template creation (CMS and/ or State DOI).
* Experience in commercial health insurance or a highly regulated industry.
* Pre-Law, Master’s Degree or JD desirable.
* 0-3 years of supervisory/management experience.
* In depth knowledge of health products, procedures, and state insurance regulations. Experience providing product regulatory proposals and recommendations.
* ** Travel:
** 20% within continental United States.

Pay Range: $87,700.00 - $ per year