MLTC-Director of Regulatory Affairs Position Available In New York, New York

MLTC-Director of Regulatory Affairs RiverSpring Health Plans

• 4.7 New York, NY Job Details Full-time $170,000
• $180,000 a year 11 hours ago Benefits Health insurance Paid time off Retirement plan Qualifications Law Doctoral degree Managed care 5 years Doctor of Law Supervising experience Senior level Leadership Communication skills Full Job Description Director of Regulatory Affairs
• Managed Long Term Care (MLTC) Immediate Full Time Opportunity Available
• Bronx, NY RiverSpring Health Plans serves over 18,000 frail individuals, helping them live independently in their homes for as long as possible.

Join our compassionate and dedicated team to make a difference in the lives of our members! The Director of Regulatory Affairs is a senior leadership role responsible for the development, implementation, and oversight of regulatory compliance activities across RiverSpring Health Plans. This individual works closely with senior leadership to ensure compliance with all applicable laws and regulations, including CMS, DOH, OIG, and OMIG requirements. Key Responsibilities Review, negotiate, and process contracts, agreements, and amendments to ensure alignment with internal protocols and regulatory standards. Draft, update, and maintain policies, procedures, manuals, and member handbooks in accordance with state and federal requirements. Prepare, submit, and manage timely regulatory filings and reports. Direct and oversee provider communication regarding audits, surveys, and regulatory inquiries. Disseminate and provide guidance on CMS and DOH memos, alerts, and updates. Lead and coordinate activities related to the Special Investigations Unit (SIU), including fraud, waste, and abuse (FWA) investigations. Review and implement best practices related to OIG and OMIG compliance guidelines. Provide oversight, supervision, and development of department staff. Collaborate with internal departments and external partners to promote regulatory readiness and ensure audit preparedness. Qualifications Juris Doctor (JD) degree required. Minimum of 5 years’ experience in regulatory affairs, managed care compliance, or healthcare law, with emphasis on contracting, credentialing, and compliance. Demonstrated supervisory and leadership experience Strong understanding of CMS, DOH, OIG, and OMIG regulations. Excellent communication skills with the ability to interact effectively with members, providers, staff, and regulatory agencies. Proven ability to manage projects, meet deadlines, and work cross-functionally with executive leadership.

Compensation:

$170,000

• $180,000 annually Benefits include health insurance, retirement plans, paid time off, and professional development opportunities.

If you are dedicated to making a meaningful impact in the lives of others and have the qualifications for this role, we invite you to apply! Equal Opportunity Employer (EOE)