Regulatory Affairs Director overseeing activities in the Regulatory Affairs Department at CareSource. Focused on compliance, contracting, and leading the team in a hybrid work environment.
Responsibilities
Lead activities of the Regulatory Affairs Department
Review, draft, negotiate and process agreements and amendments
Lead projects involving government audits, surveys and requests
Oversee provider contracting and credentialing process
Review and update applicable HIPAA policies
Manage Special Investigation Unit (SIU) activities
Provide guidance and direction to Department staff
Requirements
Juris Doctor (J.D) degree from an accredited college/university required
Five (5) years experience with Medicare and NY Medicaid managed care contracting and compliance required
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