Job Description

Regulatory Affairs Program Manager

Location: Birmingham, AL

Work Schedule: This position is based in the VIVA HEALTH corporate headquarters in downtown Birmingham and occasionally has some work-from-home opportunities. The individual in this role must reside within driving distance of Birmingham, AL.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has consistently been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health -

Job Description

The Regulatory Affairs Program Manager is responsible for supporting the Regulatory Affairs team by identifying and implementing necessary operational changes as a result of the changing legislative and regulatory environment. This individual manages relationships with vendors, consultants, and internal teams to effectively implement strategic goals of the department. This role is also responsible for managing a portfolio of regulatory projects and programs that are focused on delivering strategic value to VIVA HEALTH.

This position concurrently manages multiple projects that are at various stages in the project life cycle to ensure on-time, on-budget delivery and achievement of targeted outcomes. This individual is proficient in Project Management fundamentals and best practices and has the skills and experience to assist with the day-to-day work on integrated projects. This position is the primary support and point-of-contact for the Regulatory Affairs department in terms of document updates and regulatory approval, benefits research, internal inter-departmental communication, coordinating benefits communication updates, and ensuring the accuracy of commercial materials disseminated company-wide.

Key Responsibilities

• Serve as project management support for Regulatory Affairs and other strategic projects as determined by the Senior Leader of Regulatory Affairs.
• Develop and maintain detailed project plans including resource assignments, schedules, and dependencies.
• Collaborate with initiative owners and operational teams to manage program deliverables. Work with department and other relevant leads to define project goals and track progress.
• Own and manage complex cross-functional projects to advance regulatory and/or strategic development.
• Support implementation and on boarding of new employer groups, partners, and products.
• Represent Regulatory Affairs on cross-functional project teams and provide strategic input and technical guidance on regulatory requirements.
• Serve as the point-of-contact for the commercial risk adjustment data validation and mental health parity analysis vendors and other vendors as needed.
• Research potential benefit changes including a market analysis of coverage. Assist in the development of plan language to reflect revised coverage of benefit changes.
• Maintain and update the employer group health plan documents on the commercial group web pages as well as the commercial member benefits pages of the website. Coordinate with Marketing on the production and mailing of communications and identify ways the departments can assist one another in ensuring the quality and accuracy of communications.

REQUIRED:

• Bachelor's Degree
• 3 years of professional work experience in the health insurance industry or healthcare setting with administrative or communications responsibilities, with an emphasis on research and editing
• 1+ years of experience in project management and understanding of project management methodology
• Well organized, attentive to detail, and able to multitask and manage projects
• Articulate and able to communicate effectively (both written and oral) with employees at all levels of the organization, as well as with key individuals outside the organization such as employer groups, regulators, and vendors
• Demonstrated experience and proficiency with MS Office Outlook, Word, Excel, Power Point, and Adobe Acrobat Pro
• Advanced research capabilities
• Demonstrated expertise in facilitating diverse teams
• Ability to prioritize work and meet deadlines as well as overcome barriers or setbacks
• Ability to work flexible hours as needed and to work with external and internal customers

PREFERRED:

• Master's Degree
• 3+ years’ experience with health care regulatory communications or operations responsibilities
• 1+ years’ experience working with state and/or federal regulatory agencies
• 1+ years’ experience with Affordable Care Act compliance
• PMP Certification

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