Medical Director, Clinical Regulatory Affairs

📋 Description

• Lead and grow the Clinical Policy & Regulatory Affairs team.
• Build and manage processes that ensure clinical policy compliance and quality.
• Develop and maintain BIPs, SOPs, and other clinical policy documents aligned with QMS.
• Serve as regulatory compliance expert and maintain relationships with key clinical teams.
• Deliver executive briefings on regulatory and policy impacts.
• Advise the CMO and senior leaders on compliance risks and strategy.

🎯 Requirements

• Active, unrestricted MD or DO license
• 10+ years of experience in healthcare or the health insurance industry
• 5+ years of experience in clinical policy compliance or clinical regulatory/government affairs
• 5+ years applying state and federal health insurance laws and regulations (Marketplace, MA, reporting, and audit requirements)
• 5+ years preparing and presenting reports to boards of directors
• 5+ year of team leadership and people development experience

🎁 Benefits

• Medical, dental, and vision benefits
• Unlimited vacation program
• Annual performance bonuses
• 11 paid holidays
• Paid sick time
• 401(k) plan participation