Manage and lead a group of colleagues responsible for pulling together responses to member and provider regulatory complaints
Oversee the scheduling, drafting, timeliness and quality of regulatory responses
Proactively monitor team case load, status of response letters and associated due dates
Interface and negotiate with state and federal regulators, as needed
Build, maintain and promote positive and effective working relationships with internal and external stakeholders
Identify opportunities to streamline processes and improve efficiencies within the RRT and key business partners
Encourage staff to embrace new processes and identify change management opportunities within the team
Hold team accountable for meeting goals, due dates and expectations, identifying areas of individual performance concerns and coaching opportunities
Requirements
7+ years of experience in health care industry or regulatory environment
5+ years of experience in claim and payment policies and administration, operational, and clinical policies
Bachelor's degree required or equivalent years of related experience
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
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