MLTC-Dir of Contracts/Compliance

RiverSpring Health Plans serves over 18,000 frail individuals and help them live in their homes and independently for as long as possible.  Join our compassionate and dedicated team and make a difference in the lives of our members at RiverSpring Health Plans.  The Director of Regulatory Affairs will be responsible for The Director of Regulatory Affairs will be responsible for directing, delivering, evaluating, and coordinating activities of the Regulatory Affairs Department. 

The Director in collaboration with senior management will be responsible to review, negotiate, draft and process agreements and amendments in accordance with regulatory requirements and plan protocols; manage submission of delegated agreements and required documents for government approval, and track status; set up protocols for contract organization and keep track of contract status; prepare and submit regulatory reports; direct and organize provider communications related to audits, surveys, requests and attestations; review OIG and OMIG requirements and best practices for compliance program; review and update compliance materials, including manuals, policies and procedures, handbooks, to comply with regulatory requirements;  read and disseminate CMS and DOH memos, guidance and alerts;  provide oversight and supervision of the Department’s staff.

Juris Doctor and minimum 5 years’ experience, with emphasis in managed care contracting, credentialing and compliance. Commensurate supervisory experience required. Ability to respond to inquiries or complaints from members, providers, regulatory agencies, staff or members of the business community. Ability to direct and manage projects to completion. Ability to effectively present information to top management, department heads, and/or boards of directors.

Compensation: $160,000-$170,000 Annually  

Our staff are our greatest asset and as such we offer an excellent and comprehensive benefits package which includes:

HEALTH & INSURANCE BENEFITS*

Medical and Prescription Drug
Company-Paid Dental
Company-Paid Vision
Company-Paid Life Insurance and Accidental Death & Dismemberment
Company-Paid Short-Term Disability
Company-Paid Long-Term Disability
Health Care Flexible Spending Account
Dependent Care Flexible Spending Account
Employee Assistance Plan
Additional Life Insurance options for the employee and family members
Additional Disability options
403(b) Plan, with a generous employer contribution

TIME OFF BENEFITS*
Holidays
Personal Days
Sick Days
Vacation

ADDITIONAL BENEFITS*
Bereavement Days
Cell Phone Discount Plan
Commuter Plan
Jury Duty Days
Marriage Days
Pet Insurance Discount Plan
Tuition Assistance
Wellness Programs
Years of Service Awards

*This information is subject to change and it is not meant to be a comprehensive explanation of our employee benefits. The benefits contained in this benefit summary could change at any time without notice.

EOE