Job Description

Career Opportunities: Director, Regulatory Affairs (24369) Requisition ID 24369 - Posted 06/27/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (2) Job Description Print Preview Job Title Director, Regulatory Affairs Department Legal Affairs Exemption Status Exempt Requisition # 24369 Direct Reports Regulatory Affairs Manager Manager Title VP, General Counsel, Legal & Regulatory Affairs Pay & Benefits Estimated hiring range $ 136,530 - $166,870, / year, 10% bonus target, full benefits. Posting Notes This is a Hybrid role ( 4 days a month in office or community) Job Summary This position is responsible for overseeing and ensuring the quality of contractual and regulatory obligations to the Oregon Health Authority (OHA) and related federal agencies on behalf of CareOregon's affiliated CCOs across all government products. Primary duties include strategic planning, operational planning and oversight, as well as resource, relationship, and people management. This position works with the enterprise to present a unified and organized voice to the OHA and other external stakeholders, leads the successful resolution of regulatory or statutory barriers, and provides guidance internally on new federal or state requirements. This position also oversees the administration of CareOregon's centralized policy management program and PolicyTech application. Essential Responsibilities Technical/Operational Leadership Provides leadership and direction on operational issues with associated OAR or contractual requirements as applied to the CareOregon portfolio of business. Maintains awareness of significant regulatory changes at the state and federal level and is able to estimate the operational and resource impacts to the CareOregon enterprise. Effectively organizes internal teams with defined goals and objectives in response to regulatory challenges. Oversees the creation of tools, processes, and other supports to inform and organize all internal statkeholders to achieve regulatory objectives. Creates and maintains external relationships with key stakeholders at other CCOs, OHA, and community partners. Develops strategic communications in collaboration with leadership, government affairs and legal staff. Regularly informs or presents to the CCO CEOs, various Boards of Directors, and OHA Workgroup of key regulatory issues. Maintains knowledge of Medicaid managed health care challenges, trends, and emerging issues nationally. Works with Public Policy staff and internal CareOregon staff to analyze, draft, and submit written comments during state and federal administrative rulemaking on proposed rules that impact CareOregon, the Oregon Health Plan, CareOregon's provider network, or CareOregon members. Creates and maintains department specific policies. Oversees the CareOregon enterprise policy management function and PolicyTech vendor (NAVEX). Collaborates with Compliance, Legal Affairs, and Government Affairs on complex issues. Strategic/Operational Planning Participates in the development of vision, goals, and strategic plans for the department. Develops short and long-term plans and policies; oversees the development and execution of standard operating procedures. Provides input into the strategic plans for the organization. Maintains a business unit view while establishing department priorities, being cognizant of broader business unit and organizational impacts. Financial/Resource Management Recommends budgets in alignment with CareOregon

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