Regulatory Affairs Specialist - San Francisco Health Plan

Reporting to the Director, Regulatory Affairs & Compliance, the Regulatory Affairs Specialist supports routine to complex activities in the Compliance and Regulatory Affairs Department. You will gain extensive knowledge of State health care programs and requirements, and substantial development in health care compliance, regulations, and new health care reform initiatives at the local and statewide levels (e.g., Medi-Cal expansions).

SFHP is proud to support a hybrid work environment - as such, you will be onsite and in-office a minimum of 4 days per month.

Salary range - $28.85-$36.05 per hour

WHAT YOU WILL DO

• Submit regulatory reports such as annual Timely Access Report.
• Review regulatory reports for trends and refer concerns to supervisor.
• Help with analysis and communication of new state regulatory requirements and guidance, e.g., All Plan Letters.
• Draft and coordinate portions of DHCS and DMHC filings.
• Provide responses to State inquiries.
• Help with administrative responsibilities of the Regulatory Affairs and Compliance Department, including Policy and Compliance Committee.
• Back-up for drafting responses to State Fair Hearings, Independent Medical Reviews, and Consumer Complaints.
• Help to coordinate audits by governmental agencies.

WHAT YOU WILL BRING

• Bachelor's degree or equivalent work experience.
• Work experience in health care areas such as compliance or operations.
• Knowledge of managed care and Medi-Cal and other state-sponsored health programs.

WHAT WE OFFER:

• Health Benefits
  • Medical: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
  • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
• Retirement: Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off : 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

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