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Regulatory Affairs Specialist, South San Francisco, CA


Health Plan of San Mateo

Professional

South San Francisco, CA

October 27, 2017


REGULATORY AFFAIRS SPECIALIST

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Regulatory Affairs Specialist to identify and analyze new legislation, regulations and contractual requirements as well as submit reports and work plans to enable required changes in HPSM operations. The essential duties & responsibilities will include the following:

  • Research regulations, laws and contractual requirements and determine applicability to HPSM, its staff, policies and vendors.
  • Conduct impact analysis to determine need for immediate intervention by senior management.
  • Develop work plans identifying tasks, deliverables, assignments to business owners and due dates to ensure timely compliance with new requirements.
  • Track completion of assigned tasks by collaborating with business owners and/or project management.
  • Develop validation protocols and guidance for internal auditors to verify compliance with new regulations has been achieved
  • Attend and participate in the HPSM Operations Committee.

Requirements

Education and Experience: Bachelor’s Degree in Healthcare, Health Administration, Business Administration or related discipline. Related and relevant experience may be considered in lieu of academic requirements on a year for year basis. Minimum of two (2) years of related experience in healthcare industry with managed care experience preferred. Experience with project management, development of work flows and other project management tools.

Knowledge of: Managed care and strong familiarity with the health care field. Regulatory and or compliance processes impacting managed health care. Principles and methods of planning, directing and maintaining compliance with regulatory standards. Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, and PowerPoint. Principles and practices of managed care health care systems, medical administration and NCQA accreditation standards.

Ability to: Display professional communication skills (both written and oral) and possess a high level of attention to detail. Demonstrate superior organization, facilitation, and presentation skills. Build and maintain strong relationships within and outside HPSM. Impart critical thinking, listening, time management, decision making, and problem solving skills; maintain confidentiality. Think and work effectively under pressure and accurately complete tasks within established times; prioritization and meeting critical deadlines. Work independently and within a team environment as well as work collaboratively across functional areas in a matrix structure.

Starting Compensation Range: $61, 013- $79, 316/ annually- depending on experience

Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s coverage in the medical HMO plan and majority of PPO medical cost. Employee pays a small portion of the dependent premiums for medical and dental benefits. Additional HPSM benefits include fully paid vision, life, AD&D, STD, and LTD insurance; retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; and more.

Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: careers@hpsm.org or via fax: (650) 616-8039. File by: Continuous until filled. EOE


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