Sr. Regulatory Implementation Manager

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first.We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Senior Regulatory Implementation Manager is responsible for leading the operational implementation of regulatory and compliance-driven initiatives across the Medicare Advantage organization. This role partners with Regulatory Affairs, Compliance, Operations, Technology, Product, Clinical, and Business leaders to assess regulatory impacts, develop implementation plans, coordinate cross-functional activities, and ensure organizational readiness for new or revised Medicare Advantage requirements.

The Senior Regulatory Implementation Manager oversees end-to-end implementation of regulatory changes, ensuring that processes, systems, policies, communications, training, and operational workflows are aligned with federal and state regulatory requirements while minimizing business disruption and maintaining compliance.

This role serves as a central coordinator for enterprise regulatory initiatives and supports the organization's ability to successfully respond to evolving CMS requirements, audit findings, and compliance obligations. Job Responsibilities:
Regulatory Change Implementation

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

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Translate complex regulatory guidance into actionable implementation plans and operational requirements.

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Coordinate enterprise-wide readiness efforts for regulatory and compliance initiatives.

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Develop detailed project plans, milestones, dependencies, and implementation timelines.

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Ensure timely and effective execution of regulatory initiatives across impacted business functions.

Regulatory Impact Assessment

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Partner with Regulatory Affairs and Compliance teams to evaluate the operational impact of regulatory changes.

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Facilitate impact assessments across departments including: Enrollment and Eligibility, Claims Operations, Grievances and Appeals, Member Services, Pharmacy Operations, Provider Operations, Care Management, Quality and Stars, Sales and Marketing, Risk Adjustment, Technology

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Identify operational, process, staffing, system, and training impacts.

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Document implementation requirements, risks, and recommendations.

Cross-Functional Program Management

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Coordinate activities among business, operational, and technology teams to support compliance initiatives.

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Facilitate implementation working groups and governance meetings.

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Manage project risks, dependencies, issues, and escalation processes.

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Drive accountability for completion of implementation deliverables.

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Monitor project progress and ensure adherence to regulatory deadlines.

Operational Readiness

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Develop and execute regulatory readiness plans.

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Ensure policies, procedures, workflows, and job aids are updated to reflect regulatory requirements.

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Coordinate business process redesign and operational changes.

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Support workforce readiness through training and communication initiatives.

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Conduct readiness reviews and implementation assessments prior to regulatory effective dates.

Technology & Systems Coordination

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Partner with Technology and Enterprise Delivery teams to identify system changes required to support regulatory requirements.

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Coordinate implementation of technology enhancements, system configurations, and vendor updates.

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Oversee testing activities including: