Medical Director, Clinical Regulatory Affairs

📋 Description

• Lead and grow the Clinical Policy & Regulatory Affairs team.
• Build and manage processes ensuring clinical policy compliance and quality.
• Develop and maintain BIPs, SOPs, and other policy docs aligned with QMS.
• Serve as regulatory compliance expert and maintain strong relationships with key clinical teams.
• Deliver executive briefings on regulatory and policy impacts.
• Advise the CMO and senior leaders on compliance risks and strategy.
• Support interactions with regulators (FDA, CMS, state DOI).
• Oversee the Clinical Coding Center of Excellence and clinical credentialing.
• Promote a culture of compliance through training and education.
• Collaborate effectively with stakeholders across the organization.

🎯 Requirements

• Active, unrestricted MD or DO license
• 10+ years of experience in healthcare or health insurance
• 5+ years in clinical policy compliance or regulatory/government affairs
• 5+ years applying state and federal health insurance laws and regs
• 5+ years preparing and presenting reports to boards of directors
• 5+ years of team leadership and people development

🎁 Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance