Regulatory Affairs and Compliance Manager

Site: Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at 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 welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Job Summary

Responsible for ensuring that the MGB Health Plan adheres to all relevant regulations and standards governing the commercial line of business. This role involves managing regulatory submissions, ensuring compliance with healthcare laws and policies, and leading efforts to maintain high standards of quality and privacy across the organization.

Essential Functions

• Oversee compliance with federal, state, and local regulations, including those related to healthcare delivery, accreditation, and member privacy.
• Develop and implement policies and procedures to ensure adherence to regulatory requirements and best practices.
• Prepare, review, and submit regulatory documents and reports to governmental agencies and accrediting bodies.
• Conduct regular compliance audits and assessments to identify areas of risk and ensure adherence to regulatory standards.
• Develop and implement action plans to address any compliance issues or deficiencies identified during audits.
• Develop and deliver training programs for staff on regulatory requirements, compliance policies, and best practices.

Education

• Bachelor's Degree required- experience can be considered in lieu of degree

Experience

• At least 5-7 years of experience in regulatory affairs, compliance, or accreditation within a healthcare setting required
• At least 2-3 years of experience in a supervisory or leadership role required
• Compliance, privacy, or regulatory experience at a commercial health plan highly preferred

Knowledge, Skills, and Abilities

• In-depth knowledge of healthcare regulations, standards, and accreditation requirements.
• Strong analytical and problem-solving abilities.
• Excellent communication and interpersonal skills, with the ability to work effectively with all levels of staff and external stakeholders.
• Experience in managing audits, preparing regulatory submissions, and implementing compliance programs.
• Ability to stay current with evolving regulations and industry trends.

Working Conditions

• This is a hybrid role with team meetings at the office at least 1x/month (plus when needed for ad hoc meetings)

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$99,465.60 - $141,804.00/Annual

Grade

8

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework