Director, Regulatory Implementation

Director, Regulatory Implemenation


Director, Regulatory Implementation

Who are we?
Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.

As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.

See how you can make a difference with the support of strong leadership and a team environment.

See Everything, Be Anything™.

What are we looking for?
Reporting to the Senior Director - Compliance Implementation, Monitoring and Remediation, the Director, Regulatory Implementation directs the implementation planning and execution of projects driven by regulatory requirements. The Director, Regulatory Implementation is a leader who partners with key stakeholders across the organization and the regulatory compliance department to establish priorities and ownership of the implementation of complex compliance regulations and regulatory changes. Additionally, this role is responsible for defining timelines, resource needs, and other key project inputs. This role acts as a thought leader, influencer and subject matter expert to the operations and technology teams (amongst others) by driving alignment and understanding of critical regulations and the end-to-end processes required to support compliance.

Where you will have an impact
• Directs the regulatory implementation program
• Manages a portfolio of 50+ implementation projects ranging from very small to large in scale, ensuring timely and compliant execution
• Develop, document and maintain the policies, procedures, tools and resourceses to support the regulatory implementation program
• Review regulatory requirements deemed applicable to Versant Health, organize the information to enable efficient decision-making, and partner with operational and technology teams to ensure required changes are implemented
• Identify the correct operational areas such as claims, call center, utilization management, and complaints and appeals and facilitate and lead the impact assessments to determine the business impact of new regulations
• Facilitate cross-functional collaboration between operations, IT and regulatory compliance to determine scope of technology resources and level of effort needed to implement new regulatory requirements
• Provide training to business representatives who will participate and/or be accountable in the regulatory implementation process and/or specific regulatory changes
• Create implementation plans to project manage and confirm end-to-end processes and systemic support are accounted for and addressed during each implementation
• Direct and oversee the management of project timelines and proactivley drive accountability across operational and technology teams
• Document key decisions reached by operations, IT, regulatory compliance and legal teams during the implementation
• Organize all implementation related information such that each new regulatory requirement is linked to an implementation activity and supporting documentation
• Escalate implementation challenges to the Senior Director and AVP of Compliance and Risk or other applicable business leaders as needed
• Partner with operational areas to ensure supporting processes, policies, procedures and controls established by the operational area accurately fulfill regulatory requirements
• Collaborate with the regulatory compliance department to complete a quality review of implementation deliverables to confirm compliance
• Produce and present executive level reporting that summarizes the portfolio of iimplementation projects, including regulatory themes and key risks
• Prepare and present executive and client-ready presentation materials related to regulatory implementation
• Identify trends in Regulatory Implementation and/or emerging risks
• Conduct or participate in special projects, programs and requests as needed.
• Perform other duties as assigned

What’s necessary to do the job?
• Bachelor’s in business administration, health care administration, or related field required
• An equivalent combination of education and experience will be considered in lieu of a bachelor's degree
• Minimum of seven (7) years of related experience in implementation, project management, regulatory compliance and/or healthcare operations required