Related skills
cms regulatory affairs healthcare policy qms๐ Description
- Lead and grow the Clinical Policy & Regulatory Affairs team.
- Build and manage processes to ensure policy compliance and quality.
- Develop and maintain policies aligned with QMS, BIPs and SOPs.
- Serve as regulatory compliance expert with key clinical teams.
- Deliver executive briefings on regulatory and policy impacts.
- Advise the CMO and senior leaders on compliance risks and strategy.
๐ฏ Requirements
- Active, unrestricted MD or DO license.
- 10+ years of experience in healthcare or health insurance.
- 5+ years 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).
- 5+ years preparing and presenting reports to boards of directors.
- 5+ years of team leadership and people development.
๐ Benefits
- Medical, dental, and vision benefits.
- 11 paid holidays and paid sick time.
- Paid parental leave.
- 401(k) retirement plan participation.
- Life and disability insurance.
- Wellness time and reimbursements.
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