Sr. Manager, Regulatory Affairs

The Regulatory Affairs Senior Manager provides strategic and tactical oversight and leadership to the managing of the regulatory needs of the Medicaid Product Line across multiple states and regions. The position oversees the coordination of the day-to-day relationship with CMS, including, but not limited to, material development, submission and approvals, inquiry resolution, communication coordination and dissemination, compliance monitoring and auditing, policy and procedure development and maintenance, audit preparation and supervision, regulatory analysis, regulatory synopsis and dissemination, and government relations.

REPORTS TO: SR. DIRECTOR, PRODUCT OPERATIONS
DEPARTMENT: KENTUCKY OPERATIONS STATE
POSITION LOCATION: LOUISVILLE, KY 40223
Essential Functions:
  • Is responsible for making sure the day-to-day regulatory needs of the Medicaid product line are being met, including inquiry resolution, CMS Regional Office interface, and company-wide regulatory resource
  • Directs multiple regulatory projects with aggressive deadlines
  • Provides cross-departmental support to Medicaid product line, working closely with Sales, Marketing, Member Services, Health Services, Finance and Provider Relations, and through such ongoing activities as material review and development, compliance monitoring and auditing, policy and procedure development and maintenance, leading regulatory meetings and training
  • Develops and enhances relationships with CMS and other government entities through relationship building, regulatory analysis, and representation at meetings, conferences, other events, legislative/regulatory tracking and analysis, white paper development on key regulatory topics
  • Develops cross-departmental processes, build interdepartmental relationships, and team building

Education/Experience:
  • Master's Degree in Business, Public Health, Health Care Administration, or related field is preferred
  • 5 years of Medicaid Managed Care experience is preferred
  • 2 years of management experience is required
Computer Skills:
  • Knowledge of Microsoft Office including MS Outlook, MS Word, MS PowerPoint, MS Excel, and MS Access

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.