Regulatory Affairs Specialist II

We have an opportunity to join the Alliance as a Regulatory Specialist in the Compliance Department. This is a primarily remote position with the expectation to meet in person with the team once per quarter in Scotts Valley, CA.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Regulatory Affairs Manager, this position:

• Supports and participates in the development of statutory, contractual, and regulatory filings and reporting.
• Supports the process through which Alliance staff intake, organize, and implement new requirements and maintain Alliance policies and procedures.
• Supports Regulatory Affairs Unit administrative functions
• Performs other duties as assigned

ABOUT THE TEAM

The Compliance Department helps Alliance employees understand and follow the complex rules and requirements to meet our important compliance obligations. In short, we define and support the Alliance's Culture of Compliance internally and with our external healthcare partners. The Regulatory Affairs team serves as the Alliance’s primary liaison with regulators. We also identify, analyze, and implement new legal and regulatory requirements, and submit regulatory and contractual reporting and filings.

THE IDEAL CANDIDATE

• Has experience working in healthcare regulatory processes or similar field
• Has an acute attention to detail and data accuracy
• Has experience working remotely and knows how to self-motivate while staying closely connected to their team
• Has excellent multitasking skills and thrives in a fast-paced environment
• Is efficient with their time and can meet strict deadlines for work product and governmental filings
• Has knowledge of the Medi-Cal, Medicare Advantage, or D-SNP programs and related regulations

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements, click here.

• Knowledge of:
• Research, analysis, and reporting methods
• Windows-based PC systems and Microsoft Word, Outlook, PowerPoint, and Excel
• State and Federal legislative and regulatory processes
• The principles and practices of project management
• Ability to:
  • Quickly understand Alliance functions, policies, procedures, and guidelines, and Alliance roles and responsibilities related to oversight agencies
  • Learn and apply Medicare and Medi-Cal regulations related to compliance activities
  • Identify and research relevant legal materials, and analyze and interpret legal and contractual language
  • Demonstrate strong analytical and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action
  • Effectively, clearly, and independently document, summarize, and resolve moderately complex issues
  • Manage a high volume of government relations tasks
• Education and Experience:
  • Bachelor’s degree in Business or Public Administration, Public Policy, Health Care Planning, or a related field and a minimum of three years of government relations or compliance experience (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area

Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area

OUR BENEFITS

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
• And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.