Job Title:
Director of Regulatory Affairs, MLTC

Company: HumanEdge

Location: new york city, NY

Created: 2024-05-04

Job Type: Full Time

Job Description:

Our client serves over 16,000 frail individuals and help them live in their homes and independently for as long as possible. Join our compassionate and dedicated team and make a difference in the lives of our members at the Health Plan. The Director of Regulatory Affairs will be responsible for The Director of Regulatory Affairs will be responsible for directing, delivering, evaluating, and coordinating activities of the Regulatory Affairs Department.Candidates must have Juris Doctor and Managed Long Term Care experience (MLTC)Responsibilities:The Director in collaboration with senior management will be responsible to review, negotiate, draft and process agreements and amendments in accordance with regulatory requirements and plan protocols; manage submission of delegated agreements and required documents for government approval, and track status; set up protocols for contract organization and keep track of contract status; prepare and submit regulatory reports; direct and organize provider communications related to audits, surveys, requests and attestations; review OIG and OMIG requirements and best practices for compliance program; review and update compliance materials, including manuals, policies and procedures, handbooks, to comply with regulatory requirements; read and disseminate CMS and DOH memos, guidance and alerts; provide oversight and supervision of the Department's staff.Qualifications:Juris Doctor and minimum 5 years' experience, with emphasis in managed care contracting, credentialing and mensurate supervisory experience required.Ability to respond to inquiries or complaints from members, providers, regulatory agencies, staff or members of the business community.Ability to direct and manage projects to completion.Ability to effectively present information to top management, department heads, andor boards of pensation: $160,000-$170,000 Annually Our staff are our greatest asset and as such we offer an excellent and comprehensive benefits package which includes:HEALTH & INSURANCE BENEFITS*Medical and Prescription DrugCompany-Paid DentalCompany-Paid VisionCompany-Paid Life Insurance and Accidental Death & DismembermentCompany-Paid Short-Term DisabilityCompany-Paid Long-Term DisabilityHealth Care Flexible Spending AccountDependent Care Flexible Spending AccountEmployee Assistance PlanAdditional Life Insurance options for the employee and family membersAdditional Disability options403(b) Plan, with a generous employer contributionTIME OFF BENEFITS*HolidaysPersonal DaysSick DaysVacationADDITIONAL BENEFITS*Bereavement DaysCell Phone Discount PlanCommuter PlanJury Duty DaysMarriage DaysPet Insurance Discount PlanTuition AssistanceWellness ProgramsYears of Service Awards