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Regulatory liaison

Healthcare Talent

This is a Full-time position in Santa Barbara, CA posted December 14, 2019.

Opportunity to grow in your healthcare career!

Regulatory Liaison Location: Goleta, CA The Regulatory Liaison will act as a liaison between Provider Services staff, network providers, Compliance staff and leadership.

Other responsibilities include:
· Evaluates regulatory and contractual requirements as relates to the provider network, including but not limited to: network adequacy, timely access, data, and quality
· As the subject matter expert, leads Provider Services staff in gathering and analyzing data as needed to demonstrate regulatory and contractual compliance.

· Assists in the preparation and timely filing of recurring and ad-hoc reports required to be submitted to the state Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MRMIB) and other agencies
· Coordinates the internal information gathering and preparation as may be required during audits or other requests from regulatory agencies
· Prepares responses to comment letters and audit findings from regulatory agencies within the timeframes dictated by those agencies REQUIRED Two (2) to (5) five years’ experience in compiling, reseraching and organizing data from multiple sources.

Minimum of three (3) years’ experience in the health care environment PREFERRED Experience working with regulatory agencies desirable; knowledge of Medi-Cal and Knox-Keene requirements