What are the responsibilities and job description for the Regulatory Affairs and Compliance Manager position at Mass General Brigham Health Plan?
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.
Responsible for ensuring that Mass General Brigham Health Plan's commercial line of business adheres to all applicable federal and state regulatory requirements and industry standards. This role manages regulatory submissions, supports audits and examinations, and partners with internal stakeholders to ensure ongoing compliance with healthcare laws, privacy requirements, and organizational policies impacting commercial products. The position plays a key role in maintaining regulatory readiness and promoting high standards of quality, compliance, and data protection 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.
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.
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)
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.