Junior Regulatory Reporting Operations Specialist analyzing vast trade reporting data and ensuring regulatory reporting quality at SEB. Collaborating with teams to resolve reporting issues for regulatory compliance.
About the role
- Regulatory Affairs Director overseeing activities in the Regulatory Affairs Department at CareSource. Focused on compliance, contracting, and leading the team in a hybrid work environment.
Responsibilities
- Lead activities of the Regulatory Affairs Department
- Review, draft, negotiate and process agreements and amendments
- Lead projects involving government audits, surveys and requests
- Oversee provider contracting and credentialing process
- Review and update applicable HIPAA policies
- Manage Special Investigation Unit (SIU) activities
- Provide guidance and direction to Department staff
Requirements
- Juris Doctor (J.D) degree from an accredited college/university required
- Five (5) years experience with Medicare and NY Medicaid managed care contracting and compliance required
- Previous leadership experience preferred
Benefits
- Comprehensive total rewards package
- Bonus tied to company and individual performance
- Health insurance
- Flexible work arrangements
- Professional development opportunities
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