2 Regulatory Compliance Specialist Jobs in Fairfield, CA
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Partnership HealthPlan of California is Hiring a Regulatory Compliance Specialist Near Fairfield, CA
- Monitors state and federal health care regulation and related guidance, such as All Plan
Letters and contract amendments - With the Regulatory Compliance Supervisor, analyzes and advises on regulatory guidance
and researches regulatory inquiries - Assists in the regulatory change management process:
- Receives, tracks, summarizes, and tracks regulatory guidance (draft and final)
- Collaborates with departments on necessary internal regulatory, compliance and policy changes as required
- Tracks the implementation of requirements
- Staffs regulatory implementation workgroups
- Reports the status of regulatory implementation to the Compliance Committee.
- As needed, supports auditing and monitoring of compliance with regulatory guidance
- Assists with the development and review of all policies and procedures
- Ensures all compliance policies and procedures are revised in a timely fashion and according to current requirements:
- Conducts a review of current policies due for revision making any required changes
- Translates business requirements into policies and procedures that accurately and completely captures all standards and requirements (regulatory, contractual and departmental)
- Routes policies and procedures through all appropriate managers and departments for review and revision.
- Tracks them through until complete and approved at the appropriate committee
- Ability to use analytical skills to help resolve complex compliance, regulatory, and as
applicable, policy problems - Ability to take complex information and synthesize into an information sheet or briefing
document
SECONDARY DUTIES AND RESPONSIBILITIES
- Provides back-up support to the Regulatory Affairs & Complianceunit
- Supports internal and external auditing activities
- Other projects as assigned.
Education and Experience
Administration, Health Care Administration, Political Science, or related field; 2-3 years of experience in the health care field, managed care experience preferred, with knowledge of the Medi-Cal, and/or KnoxKeene and Medicare regulations; or equivalent combination of education and experience. Experience with health plan audits preferred.
Special Skills, Licenses and Certifications
Performance Based Competencies
Work Environment And Physical Demands
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Job Summary
Full Time
$68k-86k (estimate)
03/17/2023
05/31/2023
partnershiphp.org
Fairfield, CA
1,000 - 3,000
Related Companies
The job skills required for Regulatory Compliance Specialist include Regulatory Compliance, Written Communication, Auditing, PowerPoint, Health Care, Analytical Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Regulatory Compliance Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Regulatory Compliance Specialist. Select any job title you are interested in and start to search job requirements.
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