Senior Regulatory Implementation Manager

Alignment Health

. Lead implementation of new and revised regulatory requirements impacting Medicare Advantage operations .

Posted 9/17/2026full-timeRemote • United StatesSenior💰 $113,332 - $169,999 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in regulatory implementation and compliance within Medicare Advantage operations, with strong project management skills to coordinate cross-functional teams and manage complex initiatives effectively.

Highest-signal resume keywords

Regulatory Implementation ManagementProject Management PrinciplesStakeholder ManagementHealthcare OperationsCompliance Requirements

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory RequirementsImplementation PlansOperational RequirementsProject PlansBusiness Process RedesignUATBusiness Validation TestingReadiness TestingProduction ValidationData Analysis

Soft Skills

Communication SkillsOrganizational SkillsAnalytical Skills

Tools & Technologies

System ConfigurationsVendor Management

Industry Keywords

Medicare AdvantageCompliance AuditsOperational ChangesCross-Functional InitiativesTraining Initiatives

About the role

Key responsibilities & impact

Lead implementation of new and revised regulatory requirements impacting Medicare Advantage operations
Translate complex regulatory guidance into actionable implementation plans and operational requirements
Coordinate enterprise-wide readiness efforts for regulatory and compliance initiatives
Develop project plans, milestones, dependencies, and implementation timelines
Assess operational impacts across enrollment, claims, grievances and appeals, member services, pharmacy, provider operations, care management, quality and Stars, sales and marketing, risk adjustment, and technology
Coordinate cross-functional business, operational, and technology teams
Facilitate implementation working groups and governance meetings
Manage project risks, dependencies, issues, and escalations
Develop and execute regulatory readiness plans
Update policies, procedures, workflows, and job aids
Coordinate business process redesign and operational changes
Support training and communication initiatives
Coordinate technology enhancements, system configurations, and vendor updates
Oversee UAT, Business Validation Testing, Readiness Testing, and Production Validation
Support corrective action plans resulting from CMS audits and compliance reviews
Maintain implementation documentation and audit trails
Coordinate regulatory implementation with third-party vendors and delegated entities
Develop executive implementation status reports and dashboards
Present progress, risks, and readiness assessments to leadership
Provide go-live readiness and risk mitigation recommendations

Requirements

What you’ll need

Minimum (5) years' experience in healthcare operations, compliance, regulatory affairs, implementation management, project management, or Medicare Advantage operations
Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, Project Management, or related field
Experience managing complex, cross-functional initiatives involving regulatory or compliance requirements
Strong understanding of project management principles and implementation methodologies
Exceptional stakeholder management and communication skills
Ability to interpret and operationalize regulatory requirements
Strong organizational and analytical skills
Ability to perform the essential physical functions described in the posting, with reasonable accommodations available