Regulatory Program Specialist (Remote)

Job Type
Full-time
Description
Make a difference at OCHIN
OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.
OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.
At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.
Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of 1000+ diverse professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values, Learning, Heart, Belonging, and Impact, every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.
Position Overview
The Regulatory Program Specialist independently tracks, analyzes, and summarizes applicable Federal and State legislations, laws, and regulations in the context of OCHIN and its member organizations. The Regulatory Program Specialist will be OCHIN’s Subject Matter Expert (SME) for healthcare and health IT related regulations, supported by Compliance Manager and Compliance Officer. This role will work closely with cross-functional teams to ensure regulatory requirements are met.
The Regulatory Program Specialist will interface with Government Affairs team in tracking and preparing OCHIN for potential regulatory changes and impacts. When new laws and regulations are issued/finalized, the Regulatory Specialist will advise the Project Management effort to implement any necessary changes, and/or document how OCHIN is meeting the new requirements.
The Regulatory Specialists will collaborate within OCHIN, with its member organizations to address regulatory concerns by providing interpretation and operational impact analysis.
The Regulatory Specialists will contribute to the development of training materials for internal staff, clients, and member organizations.

• Reviews, revises, and/or drafts policies and procedures to meet regulatory requirements
• HRSA compliance requirements
• Clinical Laboratory Improvement Amendments of 1988 (CLIA)
• No Surprise Billing Act
• Federal Food, Drug, and Cosmetic (FD&C) Act and related FDA regulations
• Monitors the regulatory landscape to stay apprised of upcoming changes to existing laws and new laws that will impact OCHIN and our members
• Inpatient Prospective Payment System (IPPS)
• Federal Food, Drug, and Cosmetic (FD&C) Act and related FDA regulations as applicable to medical devices
• Performs gap analysis and draft remediation plans as needed
• Summarizes complex laws and regulations in the context of OCHIN’s operations
• Long Term Care Hospitals Payment System
• Privacy laws
• Maintains a body of knowledge regarding all health care and health IT laws and regulations, including but not limited to:
• Conducts research to address questions from various operational areas that are impacted by laws and regulations
• Reviews, revises, and/or drafts policies and procedures to meet regulatory requirements
• Clinical Laboratory Improvement Amendments of 1988 (CLIA)
• Health Insurance Portability and Accountability Act (HIPAA)
• False Claims Act
• 21st Century Cures Act
• Provides support to strategic OCHIN projects focused on ensuring member compliance with statutory and regulatory changes
• Skilled Nursing Facilities Payment System
• Anti-Kickback Statute
• Critical Access Hospital (CAH)
• Provides support to strategic OCHIN projects focused on ensuring member compliance with statutory and regulatory changes
• Conducts research to address questions from various operational areas that are impacted by laws and regulations
• Performs gap analysis and draft remediation plans as needed
• Physician Fee Schedule (PFS)
• Provides guidance to various stakeholders on critical initiatives and projects
• Physician Self-Referral Law (Stark Law)

Requirements

• Degrees in Law, Public Health, Healthcare Administration, Healthcare Compliance, or related field. Advanced degrees (i.e. MA, MS, MBA, LLM, JD) preferred but not required.
• Two years’ experience working in a healthcare regulatory affairs department.
• Proven success in regulatory affairs in a healthcare setting.
• Comfortable presenting training materials in front of small and medium sized groups (5 – 50 individuals).
• Must be proficient in the use of Microsoft Word, Outlook, Excel, PowerPoint, and Sharepoint.
• Certification in Healthcare Compliance (CHC) preferred, or ability to obtain certification within two years.
• Applicable healthcare industry experience such as experience with hospitals, FQHC’s, and governmental healthcare regulations are desired.

Salary Description
Min - $77,235 Mid-$96,544 Max - $115,852