Regulatory Affairs Specialist II

Job description

Overview The Regulatory Affairs Specialist II has demonstrated competencies in supporting the plan-wide regulatory affairs and compliance program, including activities related to HIPAA and Fraud, Waste, and Abuse (FWA). Under supervision and direction of the Regulatory Affairs Manager, monitors daily Regulatory Affair unit’s operations to ensure the timeliness of deliverables and all case management performance metrics are met, performs internal auditing of all privacy and FWA cases to ensure they meet DHCS requirements and Partnership professional standards. Also provides support to the Regulatory Affairs Specialist (RAS), directs complex regulatory inquiries and responses to regulatory agencies. Responsibilities: - Proficiently performs all duties of the Regulatory Specialist, independently. - Operates independently, exercising judgement, and providing support and guidance to Regulatory Affairs and Compliance (RAC) staff - Encourages continuous awareness and education of unit staff, which may include development and maintenance of training materials - Creates and monitors daily operational reports to ensure the timely submission of privacy and FWA cases to DHCS - Manages the inta...