Manager, Regulatory & Filing Operations

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Oversee designated functional areas such as submission filing, interpretation of state legislation and regulations, policy research, member materials or QHP templates, and product benefit databases.

• Ensure the quality of outputs in functional areas and provide regulatory oversight alongside advocacy positioning.

• Act as the main contact for communications between the Health Plan and the State Department of Insurance.

• Lead the review, interpretation, and summarization of current, proposed, and enacted legislation and regulatory changes.

• Deliver risk assessments and provide feedback communications to business leaders and management.

• Coordinate and manage regulatory and filing projects in collaboration with internal departments and cross-functional partners.

• Handle product filings and submissions to CMS and State Departments of Insurance.

• Conduct quality assurance audits on regulatory research, filings, member-facing policy documents, projects, and communications.

• Maintain the product benefit system as the authoritative source for QHP templates and member document generation.

• Supervise or conduct audits from the authoritative system and/or documents.

• Evaluate team performance and foster performance, quality improvement, and staff development.

• Establish measurable, repeatable, scalable, and predictable processes to promote continuous improvement.

• Collaborate with IT on enhancements and fixes for the product benefit database.

• Oversee staff working alongside IT on the product benefit database.

• Execute other assigned duties while adhering to policies and standards.

⛳️ Requirements

• A Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or at least 5 years of regulatory experience, including policy analysis and/or product filing or Qualified Health Plan (QHP) documentation and template creation (CMS and/or State DOI).

• Background in commercial health insurance or another highly regulated industry.

• 0-3 years of supervisory or management experience.

• Comprehensive understanding of health products, procedures, and state insurance regulations.

• Experience in providing product regulatory proposals and recommendations.

• Must have authorization to work in the U.S. without requiring employment-based visa sponsorship now or in the future.

• Willingness to travel 20% within the continental United States.

🏝️ Benefits

• Health insurance.

• 401K.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.

• Equal opportunity employment.

• Consideration of qualified applicants with arrest or conviction records in accordance with applicable laws.