Manager Regulatory Implementation Consulting

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Job Summary

This position is responsible for providing business leadership to federal (retail, group, technical and corporate-related) regulatory implementations across the enterprise in support of the enterprise regulatory implementation strategy. This position will lead a regulatory implementation consulting team and assist executives, across the enterprise and their teams, who are leading or are otherwise engaged in federal regulatory implementations. Provides for the translation of applicable regulatory requirements into business, technical and operational requirements; the successful development and implementation of those requirements; and the incorporation of those requirements into HCSC’s daily business processes and operations. This position will partner with the HCSC regulatory compliance functions (compliance, audit, oversight, legal and government relations), and affected business stakeholders, to ensure regulatory implementations result in the company achieving the proper state of audit readiness. Under the direction of the Sr. Director of Regulatory Implementation, this position will advise and serve as a key point of contact for business leaders and market segment/functional area leaders on a variety of federal regulatory implementation-related matters.

Required Job Qualifications:

• Bachelor degree and 5 years of healthcare, managed care, health insurance, business operations or consulting experience

• Minimum of 1 year of management experience

• Experience in project management

• Knowledge of the federal and state legislative and regulatory process, healthcare regulatory environments, and the Affordable Care Act

• Strong knowledge, understanding, and experience with health insurance operations and IT systems

• Experience working with an organization’s compliance, oversight, audit, government relations and legal areas

• Ability and desire to lead, gain consensus and make critical business decisions in a dynamic regulatory and business environment

• Ability and desire to build and grow organization and identify, develop, and retain talent

• Ability and desire to lead cross-functional projects/project teams with impacts across the enterprise

• Experience with budget development and securing project/program funding

• Experience with business case development

• Strong leadership, mentorship and coaching skills

• Strong analytical skills; detail oriented

• Strong organizational agility skills

• Strong executive presence

Preferred Job Qualifications:

• Master degree or other advanced degree

• Project management or process certifications

• Familiarity with HCSC business systems, processes and operations

• Experience engaging with federal and/or state regulators

Sponsorship will not be provided for this role.

Hybrid: Work in office 3 days a week; work from home 2 days a week.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.