Director Dhp Regulatory Operations

Driscoll Health Plan

Not specified
Managed care regulatory oversight experience
Texas medicaid lines of business knowledge
Hhsc oig tdi filing requirements
The Driscoll Health Plan is seeking a Director of Regulatory Operations to oversee the development and implementation of regulatory programs, ensuring compliance with state and federal regulations. The ideal candidate will have significant experience in managed care operations and regulatory oversight, particularly in Texas Medicaid

Job Summary

  • The Director will develop and oversee an effective regulatory program ensuring compliance with state and federal rules.
  • This role requires professional engagement with Texas regulators including HHSC, OIG, and TDI to manage filings and deliverables.
  • Employees are treated as family in an environment where compassion meets innovation and technology.

Matching Summary

Match Score: 85

The Driscoll Health Plan is seeking a Director of Regulatory Operations to oversee the development and implementation of regulatory programs, ensuring compliance with state and federal regulations. The ideal candidate will have significant experience in managed care operations and regulatory oversight, particularly in Texas Medicaid.

Skills & Requirements

Must-have

  • Managed care regulatory oversight experience
  • Texas Medicaid lines of business knowledge
  • HHSC OIG TDI filing requirements
  • Delegated entity auditing and monitoring
  • UMCC UMCM requirement interpretation

Nice-to-have

  • Collaborative relationship building with regulators
  • Mentoring and staff development skills
  • Agile team operational effectiveness
  • Strategic communication with leadership

Key Requirements

  • Bachelor's Degree required
  • 5 years Managed Care leadership experience
  • Knowledge of Texas Medicaid operations
  • Experience with regulatory compliance filing

Work Rights

Not specified

Tailored Resume

Cover Letter