Regulatory Case Manager
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AI Summary
Manage and oversee regulatory cases from initiation to resolution while ensuring compliance with state and federal guidelines. Coordinate with internal and external stakeholders to process submissions, appeals, and grievances.
Benefits:
- 401(k)
- 401(k) matching
- Bonus based on performance
- Company parties
- Dental insurance
- Employee discounts
- Free food & snacks
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented and driven Regulatory Case Manager to join our growing team. In this critical role, you'll help ensure compliance and streamline regulatory processes that directly impact patient care and organizational success. If you thrive in a fast-paced healthcare environment and have a passion for precision, this is the opportunity for you.
Responsibilities:
- Manage and oversee regulatory cases from initiation through resolution, ensuring timely and compliant outcomes
- Review, analyze, and process regulatory submissions, appeals, and grievances in accordance with state and federal guidelines
- Coordinate with internal departments, providers, and external agencies to gather documentation and facilitate case resolution
- Monitor regulatory deadlines and maintain accurate case tracking logs and reporting systems
- Prepare written correspondence, case summaries, and regulatory reports for internal and external stakeholders
- Ensure adherence to DMHC, CMS, and other applicable healthcare regulatory requirements
- Identify trends in regulatory cases and recommend process improvements to enhance compliance operations
Requirements:
- 2+ years of experience in regulatory affairs, healthcare compliance, or case management
- Strong knowledge of healthcare regulations, including DMHC, CMS, or managed care guidelines
- Excellent written and verbal communication skills with the ability to draft clear, professional correspondence
- Proficiency in case management systems and Microsoft Office Suite
- Strong organizational skills with the ability to manage multiple deadlines simultaneously
- Bachelor's degree in Healthcare Administration, Business, or a related field preferred
- Detail-oriented, analytical mindset with a commitment to accuracy and compliance
About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting healthcare providers and delivering high-quality managed care services. Our clients trust us for our deep expertise, responsive service, and commitment to operational excellence. Our team members enjoy a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
This is a remote position.
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