Director, Regulatory Reporting

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Director, Regulatory Reporting

Analytics and Actuarial Services Full Time Senior Management Miami, FL, US

6 days ago Requisition ID: 3378

We are seeking a Director, Regulatory Reporting to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Director of Regulatory Reporting in the Health Care and Social Assistance industry is responsible for overseeing the accurate and timely preparation and submission of all regulatory reports required by federal, state, and local agencies. This role ensures compliance with complex healthcare regulations and reporting standards, mitigating risk and supporting organizational transparency. The Director leads a team of reporting professionals, providing strategic direction and fostering continuous improvement in reporting processes and systems. They collaborate closely with internal departments such as compliance, finance, and operations to gather necessary data and ensure alignment with regulatory requirements. Ultimately, this position plays a critical role in maintaining the organization's reputation and operational integrity by ensuring all regulatory obligations are met with precision and accountability.

Minimum Qualifications:

• Bachelor’s degree in Health Administration, Finance, Accounting, or a related field.
• At least 7 years of experience in regulatory reporting within the healthcare industry.
• Strong knowledge of healthcare regulations such as HIPAA, CMS reporting requirements, and other relevant federal and state laws.
• Proven experience managing teams and leading complex reporting projects.
• Excellent analytical, organizational, and communication skills.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

• Master’s degree in Health Administration, Business Administration, or a related discipline.
• Professional certifications such as Certified Regulatory Compliance Manager (CRCM) or Certified Healthcare Compliance (CHC).
• Experience with healthcare data management systems and advanced reporting software (e.g., SQL, Tableau, or similar).
• Familiarity with audit processes and risk management in healthcare settings.
• Demonstrated ability to implement process improvements and automation in reporting workflows.

Responsibilities:

• Lead the development, review, and submission of all regulatory reports in accordance with applicable healthcare laws and guidelines.
• Manage and mentor a team of regulatory reporting analysts, fostering professional growth and ensuring high-quality output.
• Collaborate with cross-functional teams including compliance, finance, and IT to collect, validate, and analyze data for reporting purposes.
• Monitor changes in healthcare regulations and reporting requirements, adapting processes and systems to maintain compliance.
• Implement and maintain internal controls and audit procedures to ensure accuracy and completeness of regulatory reports.
• Develop and deliver training programs to keep the team updated on regulatory changes and reporting best practices.
• Serve as the primary point of contact for regulatory agencies during audits and inquiries related to reporting.
• Utilize data analytics and reporting tools to enhance reporting efficiency and accuracy.