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Sr Manager Transparency & Regulatory Solutions
Sr Manager Transparency & Regulatory Solutions-April 2024
Chicago
Apr 15, 2025
About Sr Manager Transparency & Regulatory Solutions

  At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

  Come join us and be part of a purpose driven company who is invested in your future!

  Job Summary

  Job Purpose:

  This position is responsible for driving operations decisions related to regulatory compliance with federal and state health insurance payer mandates. Assist executives, and their teams, in federal and state regulatory implementations, to include the translation of applicable regulatory requirements into business, technical and operational requirements; the successful development and implementation of those requirements; and the incorporation of those requirements into HCSC's daily business processes and operations. Act as a dedicated liaison to all areas within operations with respect to applicable regulatory implementation related matters. This position will report on, track and advise leaders and stakeholders across the enterprise on a variety of regulatory implementation related matters.

  Required Job Qualifications:

  Bachelor degree and 5+ years of healthcare, managed care, health insurance, business operations or consulting experience OR 10+ years of healthcare, managed care, health insurance, business operations or consulting experienceExperience leading and delivering high profile projects and initiatives within a highly matrixed organization4+ years of experience engaging with business leadership in a consultative roleManagement ExperienceKnowledge of, and experience with healthcare, managed care, or health insurance operations and IT systemsExperience developing business casesExperience with leading cross-functional projects/project teamsExcellent organizational skills, detail-oriented, strong analytical skills and interpersonal skillsExperience managing multiple complex assignments and projects concurrentlyStrong executive presence, ability to influence others and drive resultsStrong executive presentation skills

  Preferred Job Qualifications:

  Master degree or other advanced degreeProject management or process certificationsExperience working with compliance, oversight, audit, government relations and legal areasExperience engaging with federal and/or state regulatorsBasic knowledge of the federal and state legislative and regulatory processBasic knowledge of the Affordable Care ActFamiliarity with HCSC systems, processes and operations

  This is a Flex role consisting of working in the office 3 days/week and working from home 2 days/week. The role can be based in Chicago or Downers Grove.

  #LI-EL1

  #LI-Hybrid

  Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

  HCSC Employment Statement:

  HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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