Sr. Regulatory Affairs Manager
Mass General Brigham Health Plan
- Somerville, MA
- Permanent
- Full-time
- Lead the management of a portfolio of federal regulations, inclusive of policy development, external advocacy work, and gathering internal feedback in support of the advocacy work.
- Serve as the regulatory subject matter expert on implementation projects impacted by federal guidance and/or regulations.
- Advise business stakeholders within Mass General Brigham Health Plan on federal guidance and regulations impacting Mass General Brigham’s overall Business Strategy.
- Advocate for Mass General Brigham Health Plan on trade association calls and provide stakeholder feedback on policy and regulatory items.
- Stay informed about relevant government regulations, industry standards, and compliance requirements.
- Monitor and track federal guidance and regulations.
- Conduct ongoing research to understand the impact of regulatory changes on the organization’s operations.
- Conduct a review and audit of policies and procedures; recommend opportunities to strengthen the internal control structure.
- Lead cross-organizational compilation of feedback regarding proposed federal guidance and regulations in support of our federal advocacy efforts.
- Lead responses to requests for information from federal regulatory agencies (CCIIO, CMS, Department of Labor) and external auditors.
- Communicate in multiple mediums to all levels of staff.
- Provide clear, concise and timely information to key constituents regarding regulatory and compliance issues.
- Effectively plan and transition regulatory deliverables to day-to-day “lights on” operations and to Compliance for routine monitoring.
- Provide and cultivate effective meeting management skills and participation.
- Hold self and others accountable to meet commitments.
- Ensure diversity, equity, and inclusion are integrated as a guiding principle.
- Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
- Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
- Other duties as assigned with or without accommodation.
- Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.
- Bring fresh ideas forward by listening to and working with employees and the people we serve.
- Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
- Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
- Strong aptitude for technology-based solutions.
- Ability to inject energy, when and where it’s needed.
- Current in healthcare trends.
- Demonstrated forward, visionary thinking; ability to see “what is” and envision “what could be.”
- Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
- Excellent leadership skills and leadership track record.
- Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
- Ability to view the long-range trends and cycles of the business and industry and see the “big picture.”
- Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
- Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
- Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
- Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
- Unquestionable integrity.
- Juris Doctor or master’s degree strongly preferred.
- Bachelor’s degree required and 8+ years of relevant experience with broad-based knowledge of commercial health insurance and/or government programs, with a focus on federal regulation.
- Previous health plan experience preferred.