Director Of Regulatory Affairs-MLTC
- Ref:
309532
- Type:
Direct Hire
- Location:
Bronx, NY
- Industry:
Healthcare
- Job Level:
Director
- Pay:
$160,000.00 - 170,000.00
Opportunity Description
Our client serves over 16,000 frail individuals and help them live in their homes and independently for as long as possible. Join our compassionate and dedicated team and make a difference in the lives of our members at the Health Plan. The Director of Regulatory Affairs will be responsible for The Director of Regulatory Affairs will be responsible for directing, delivering, evaluating, and coordinating activities of the Regulatory Affairs Department.
Candidates must have Juris Doctor and Managed Long Term Care experience (MLTC).
Company Information
Our client, a world-renowned long-term care organization located in North Bronx, serves over 18,000 people every day, both in the greater New York Community and on a gorgeous 32-acre campus just minutes from Manhattan. This park-like community offers sweeping views of the Hudson River and walkable trails, featuring its own world-class art collection and outdoor sculptures.
Free parking oniste!
Job Duties
- The Director in collaboration with senior management will be responsible to review, negotiate, draft and process agreements and amendments in accordance with regulatory requirements and plan protocols.
- Manage submission of delegated agreements and required documents for government approval, and track status; set up protocols for contract organization and keep track of contract status; prepare and submit regulatory reports;
- Direct and organize provider communications related to audits, surveys, requests and attestations; review OIG and OMIG requirements and best practices for compliance program; review and update compliance materials, including manuals, policies and procedures, handbooks, to comply with regulatory requirements; read and disseminate CMS and DOH memos, guidance and alerts; provide oversight and supervision of the Department’s staff.
Experience & Skills Required
Minimum 5 years’ experience, with emphasis in managed care contracting, credentialing and compliance. Commensurate supervisory experience required.
Ability to respond to inquiries or complaints from members, providers, regulatory agencies, staff or members of the business community.
Ability to direct and manage projects to completion. Ability to effectively present information to top management, department heads, and/or boards of directors.
Benefits
Our staff are our greatest asset and as such we offer an excellent and comprehensive benefits package which includes:
HEALTH & INSURANCE BENEFITS*
Medical and Prescription Drug
Company-Paid Dental
Company-Paid Vision
Company-Paid Life Insurance and Accidental Death & Dismemberment
Company-Paid Short-Term Disability
Company-Paid Long-Term Disability
Health Care Flexible Spending Account
Dependent Care Flexible Spending Account
Employee Assistance Plan
Additional Life Insurance options for the employee and family members
Additional Disability options
403(b) Plan, with a generous employer contribution
TIME OFF BENEFITS*
Holidays
Personal Days
Sick Days
Vacation
ADDITIONAL BENEFITS*
Bereavement Days
Cell Phone Discount Plan
Commuter Plan
Jury Duty Days
Marriage Days
Pet Insurance Discount Plan
Tuition Assistance
Wellness Programs
Years of Service Awards