Risk and Compliance Officer
SupersidePart Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates must have a Bachelor's degree and over 5 years of experience in a managed care environment, specifically with regulatory filings, exams, or audits. Direct experience working with the California Department of Managed Health Care (DMHC) is required, along with a strong understanding of federal and state regulatory frameworks such as NAIC, CMS, HIPAA, and ERISA. Excellent communication and project management skills are essential, with a proven ability to monitor, interpret, and implement new regulations across multiple states.
The Senior Regulatory Compliance Specialist will manage all regulatory filings, license renewals, and required reports for the DMHC and other jurisdictions, maintaining a comprehensive reporting calendar. This role involves serving as the primary liaison to regulatory bodies, managing regulatory exam and inquiry responses, and leading enterprise-wide implementation of regulatory changes. Responsibilities also include overseeing internal policy development for market conduct and compliance controls, supporting internal audits, and guiding cross-functional teams in remediation and process improvements.
Personalized mental health solutions for employers
Spring Health offers personalized mental health solutions to employers and health plans, focusing on enhancing employee well-being. Their Precision Mental Healthcare system tailors support to individuals, providing options like digital resources, therapy, and medication. Users receive a customized care plan after a brief assessment, allowing them to schedule appointments and access wellness exercises easily. The goal is to improve workplace mental health by providing effective and accessible resources.