- Lead the management of a portfolio of federal regulations, inclusive of policy development, external advocacy work, and gathering internal feedback in support of the advocacy work.
- Serve as the regulatory subject matter expert on implementation projects impacted by federal guidance and/or regulations.
- Advise business stakeholders within Mass General Brigham Health Plan on federal guidance and regulations impacting Mass General Brigham's overall Business Strategy.
- Advocate for Mass General Brigham Health Plan on trade association calls and provide stakeholder feedback on policy and regulatory items.
- Stay informed about relevant government regulations, industry standards, and compliance requirements.
- Monitor and track federal guidance and regulations.
- Conduct ongoing research to understand the impact of regulatory changes on the organization's operations.
- Conduct a review and audit of policies and procedures; recommend opportunities to strengthen the internal control structure.
- Lead cross-organizational compilation of feedback regarding proposed federal guidance and regulations in support of our federal advocacy efforts.
- Lead responses to requests for information from federal regulatory agencies (CCIIO, CMS, Department of Labor) and external auditors.
- Communicate in multiple mediums to all levels of staff.
- Provide clear, concise and timely information to key constituents regarding regulatory and compliance issues.
- Effectively plan and transition regulatory deliverables to day-to-day "lights on" operations and to Compliance for routine monitoring.
- Provide and cultivate effective meeting management skills and participation.
- Hold self and others accountable to meet commitments.
- Ensure diversity, equity, and inclusion are integrated as a guiding principle.
- Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
- Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
- Other duties as assigned with or without accommodation.
- Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.
- Bring fresh ideas forward by listening to and working with employees and the people we serve.
- Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
- Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
- Strong aptitude for technology-based solutions.
- Ability to inject energy, when and where it's needed.
- Current in healthcare trends.
- Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be."
- Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
- Excellent leadership skills and leadership track record.
- Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
- Ability to view the long-range trends and cycles of the business and industry and see the "big picture."
- Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
- Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
- Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
- Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
- Unquestionable integrity.
- Juris Doctor or master's degree strongly preferred.
- Bachelor's degree required and 8 years of relevant experience with broad-based knowledge of commercial health insurance and/or government programs, with a focus on federal regulation.
- Previous health plan experience preferred.
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Sr. Regulatory Affairs Manager - Somerville, United States - AllWays Health Partners
Description
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry.As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems.
Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience - a commitment that starts with our employees.Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
The Senior Regulatory Affairs Manager is a key member of the Legal, Regulatory Affairs & Compliance (LRAC) team.This position will report to the Director, Legal, Regulatory Affairs & Compliance, and will take the lead on managing a portfolio of federal regulations, inclusive of policy development, external advocacy work, and gathering internal feedback in support of the advocacy work.
The Senior Regulatory Affairs Manager will also serve as the LRAC subject matter expert for all project implementation work associated with the assigned portfolio of regulations.
The Senior Regulatory Affairs Manager works with cross-functional teams to interpret, summarize, and implement federal regulations/guidance effectively and efficiently. This position also leads responses to external requests for information from regulatory agencies and external auditors.The Senior Regulatory Affairs Manager, in collaboration with the Director, LRAC, will lead the federal advocacy efforts through trade associations, including America's Health Insurance Plans (AHIP).
The Senior Regulatory Affairs Manager also develops and maintains familiarity with key health plan operational processes to inform our advocacy efforts.
The Senior Regulatory Affairs Manager serves an important role in ensuring our organization's adherence to applicable laws, regulations, and industry standards.
This role involves conducting research, monitoring regulatory changes, and implementing compliance programs to mitigate risks and maintain the organization's legal and ethical standing.
Principal Duties and Responsibilities:
Skills/Abilities/Competencies:
