Job Description

Job Description

Job Description

COMPANY OVERVIEW
At Harbor Health, we’re transforming healthcare in Austin through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model.

If you’re ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

The Manager of Regulatory Affairs plays a pivotal role in supporting Harbor Health’s health plan business by ensuring regulatory compliance and spearheading our health plan’s day-to-day regulatory affairs activities. Reporting directly to the Head of Regulatory Affairs, this position plays a key role in preparing and managing regulatory reporting, submitting regulatory filings, and tracking key regulatory and legislative changes that may impact our business. 

POSITION DUTIES & RESPONSIBILITIES

• Manage Regulatory Filings: Oversee the preparation and submission of regulatory filings, ensuring accuracy and compliance with all federal and state laws. Facilitate the organization’s response to regulatory inquiries or actions.
• Conduct Regulatory Research: Perform thorough regulatory research to support policy development and decision-making. Stay updated on changes in the regulatory environment, with particular focus on the Texas market, that could impact various aspects of the health plan business.
• Monitor Legislation and Rulemaking: Track and analyze state and federal rulemaking, legislative changes, and industry trends that could affect the organization. Translate complex regulatory language into actionable information for senior management.
• Disseminate Regulatory Updates: Effectively communicate relevant regulatory changes and updates to internal teams to ensure company-wide compliance. Develop internal resources, such as newsletters or briefs, to aid in the dissemination of critical regulatory information.
• Collaborate Across Departments: Work closely with other departments, including legal, compliance, operations, and product development teams, to ensure regulatory considerations are integrated into all aspects of health plan management and operations.
• Support Compliance Initiatives: Assist in the design and enhancement of compliance frameworks to meet regulatory requirements. Support the compliance team in internal audits and reviews to identify compliance and regulatory risks and opportunities for improvement.

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Required:

• Bachelor’s degree in Health Administration, Public Policy, Law, or a related field.
• Minimum of 5 years in regulatory affairs or compliance within the health insurance industry, with a proven track record of managing complex regulatory issues.
• Proficiency in navigating regulatory databases, preparing and submitting filings, and interpreting state and federal health insurance regulations.
• Strong analytical and problem-solving skills, excellent written and verbal communication abilities, and a capacity to work effectively under pressure.
• Detail-oriented with a high level of accuracy, proactive in managing potential regulatory issues, and capable of influencing cross-functional teams.

Preferred:

• Graduate degree in health policy, law, business, or related field.
• Experience with Medicare, Medicaid, or other government-sponsored programs.
• Advanced knowledge of the Affordable Care Act, ERISA, HIPAA, and other relevant healthcare laws and regulations.
• Certification in Healthcare Compliance (CHC) or similar credentials.
• Leadership skills with the ability to mentor and guide team members, and exceptional stakeholder management capabilities.

WHAT WE OFFER

• Opportunity to shape the regulatory, legal, and compliance team 
• Collaborative and dynamic work environment
• An organization made of people who are passionate about changing the healthcare landscape
• Competitive salary and benefits package
• Professional development and growth opportunities
• A transparent and unique culture 

Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

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