Senior Director of Regulatory Affairs - Tandym Group : Job Details

A leading healthcare organization in New York City is seeking a Senior Director of Regulatory Affairs to join their team. This key leadership role offers the opportunity to oversee a team of regulatory professionals while managing and interpreting regulatory requirements across the organization's portfolio, ensuring compliance and alignment with federal, state, and local laws.

*This is a hybrid position, offering a primarily remote work environment with occasional in-office requirements as needed.

Responsibilities:

The Senior Director of Regulatory Affairs will be responsible for:

• Leading and supervising the Regulatory Affairs unit to analyze, interpret, and communicate new regulatory requirements across the organization
• Ensuring regulatory updates and product contract changes are disseminated to appropriate stakeholders
• Providing regulatory support, interpretation, and clarification from regulatory bodies while communicating key issues to internal divisions
• Partnering with Compliance teams to understand and implement Federal, State, and Local regulations
• Establishing protocols for overseeing the implementation of new rules, including service carve-ins for insurance products
• Developing actionable communications to inform stakeholders of regulatory changes and their impact
• Collaborating with Compliance teams on external audits and surveys, such as NYS Department of Health Article 44 program audits
• Engaging with regulatory agencies and trade associations and managing external regulatory complaints and fair hearings
• Supporting business leaders in understanding regulatory changes and achieving organizational goals
• Anticipating policy trends and coordinating advocacy strategies with government relations
• Driving team success, engagement, and professional development to address complex regulatory challenges

Qualifications:

• Bachelor's degree
• Minimum 10 years of experience working with Medicare and Medicaid laws/regulations in a managed care compliance or regulatory department, including holding a senior position
• In-depth knowledge of health law, managed care regulations, and compliance programs
• Expertise in healthcare administration standards, health plan operations, and regulatory frameworks
• Strong leadership skills with the ability to direct and supervise personnel effectively
• Proven experience building relationships across business groups and external stakeholders
• Excellent strategic thinking and problem-solving skills to address complex regulatory issues

Desired Skills:

• Advanced degree in health administration, public health, or law
• Experience with policy advocacy and government relations
• Strong communication and interpersonal skills to engage diverse stakeholders effectively