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Mgr Regulatory Affairs

• Job Family: LEG > Regulatory Affairs

• Type: Full time

• Date Posted:Apr 25, 2024

• Anticipated End Date:Apr 28, 2024

• Reference: JR108975

Location:

• PR, San Juan

Description

A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.

Mgr Regulatory Affairs

Location: This is a virtual position, however as we have entered a hybrid workforce strategy, the candidate is required to live within the region of Puerto Rico and be able to participate in an onsite training and/or meetings on Carelon's Office Building located in PR-San Juan, 654 Ave Munoz Rivera as requested.

S chedule: This position will work a first shift but must be flexible to the US States time zones that the unit will be supporting.

The Mgr Regulatory Affairs manages team responsible for regulatory research and monitoring, policy and procedure development, and regulatory filings.

How you will make an impact

Primary duties may include, but are not limited to:

• Oversees preparation and submission of regulatory filings, including license applications and renewals, data reports, and material change notifications.

• Supports market conduct exam activities.

• May interact with state regulators within assigned areas of responsibility.

• Ensures regulatory interpretations, policies, and procedures are consistent across company and its subsidiaries, and that policies and procedures are written in concise and accurate language.

• Leads efforts to coordinate with accreditation, quality management, clinical adherence, and operational areas to ensure department output is in alignment with company’s overall objectives.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

• Requires a BA/BS and minimum of 5 years related experience in health insurance and regulatory compliance; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Legal training and education preferred.

• Knowledge of applicable accreditation requirements preferred.

• Fully Bilingual (English & Spanish), Must be able to write, read and speak both languages in a proficiency level.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

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• EEO Policy Statement

• Know Your Rights

• Pay Transparency

• Privacy Notice for California Residents

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Need Assistance?

Email us (elevancehealthjobssupport@elevancehealth.com)