Regulatory Affairs Analyst

Under the direction of the Regulatory Affairs Counsel, the Regulatory Affairs Analyst supports essential regulatory affairs functions within the Regulatory Affairs and Compliance department. You will be responsible for reconciliation of our policies and procedures (P&Ps) and desktop processes within federal and State laws, regulations, and sub-regulatory guidance.You will:Audit results, processes impacting health care providers, and NCQA accreditation standards.Support activities relating to regulatory inquiries, regulatory filings, reporting, implementation of new regulatory guidance. Activities range from routine to complex, requiring excellent decision-making abilities.You will grow to have knowledge of SFHP's operations, State managed care laws and regulations, Medi-Cal program requirements, and substantial knowledge in health care compliance and new health care reform programs at the state and local levels (e.g., Medi-Cal program transitions and expansions).WHAT YOU WILL DOMaintain inventory of policies and procedures (P&Ps) in the organization’s P&P database (Square One).Translate policy issues and regulatory requirements to clear and concise P&Ps.Ensure all P&Ps are reviewed frequently and updated as necessary. Serve as the primary point person for document content and storage.Work with other departments to develop new policies. Coordinate P&Ps development and revisions across impacted departments.Communicate requirements and P&P changes to applicable SFHP management and staff; ensure staff are aware of changes to ensure that desktop processes and trainings are updated to reflect changes.Train SFHP staff on development, revisions, and maintenance of Policies, Procedures, and Desktop Procedures.Oversee and conduct internal audits as assigned; coordinate audits by governmental agencies as assigned.Serve as department liaison with State agencies.Draft and oversee State regulatory filings.Analyze and coordinate implementation of new regulations and legislation.WHAT YOU WILL BRINGBachelor’s degree or equivalent combination of education and work experience.Two years of experience in analyzing and interpreting health care laws, regulations, and policies.Strong working knowledge of State program regulations and HIPAA.Healthcare Compliance Certification and data experience in health care desired.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.

#J-18808-Ljbffr