Develop and implement strategies to ensure successful maintenance and implementation of regulatory requirements for assigned products across the entire company
Lead for maintenance and tracking laws, regulations and various compliance guidance documents
Prepare regular updates and analysis on impactful regulatory actions
Communicate key regulatory changes, trends, data to key stakeholders and leaders throughout the Company
Work in collaboration with Product Compliance Partners, Policy, Government Relations, Legal and other key departments
Evaluate and monitor changes to service functions and performance in relation to company mission, philosophy objectives and policies
Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements
Provide mentoring and guidance to subordinates within the department as necessary

Bachelor’s degree in related field or equivalent experience
7+ years of combined compliance program management and contract experience with Medicare and Medicaid programs, including internal and state audits
Experience with healthcare regulatory agencies in the development of compliance and fraud programs preferred
Experience with oversight of implementation of federal and state insurance or program requirement preferred

Director, Medicare Regulatory Change Management

Key skills