ParalegalRegulatory and Compliance Coordinator

Job Description

Job Description

You will contribute to the strength of our team approach to collaborative dental health.

Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this could be your new home!

Regulatory & Compliance Coordinator (Paralegal)

Location: Long Beach, CA

Department: Compliance / Operations

Reports To: Director of Compliance

Position Summary:

The Regulatory & Compliance Coordinator will lead the operational execution of regulatory filings, audit readiness, and corrective action tracking for a boutique dental HMO operating in California and Washington. This role is critical to ensuring timely submissions, regulatory preparedness, and documentation integrity. The ideal candidate has healthcare managed care experience and/or a regulatory paralegal background with exposure to insurance or health plan compliance environments. Experience with DMHC is a must.

Core Responsibilities: Regulatory Filings & Submissions

· Own and maintain the master regulatory calendar (DMHC, CDI, WA OIC, and other applicable regulators)

· Coordinate timely submission of required reports, surveys, and regulatory filings

· Maintain documentation and audit trails for all submissions

· Support rate filing documentation and regulatory correspondence

Audit & Survey Readiness

· Prepare documentation for state audits, market conduct exams, and accessibility audits

· Conduct internal mock audits and compliance reviews

· Centralize compliance documentation within a structured repository

Corrective Action Plan (CAP) Management

· Track and monitor CAP items across departments

· Assign ownership and deadlines for remediation tasks

· Provide executive reporting on open compliance risks and resolution progress

Policy & Procedure Management

· Maintain and update compliance policies and procedures

· Track regulatory changes and coordinate required updates

· Support cross-department compliance training initiatives

Required Qualifications

· 3+ years of experience in healthcare compliance, managed care, insurance, or regulatory paralegal work

· Experience supporting regulatory audits and filings

Experience working with DMHC is required

· Strong organizational and documentation management skills

· Ability to manage multiple deadlines in a fast-paced environment

· Strong written and verbal communication skills

Preferred Qualifications

· Paralegal certification

· Certified in Healthcare Compliance (CHC) or related certification

· Experience in dental HMO or capitated plan environment

· Familiarity with network adequacy and accessibility standards

Success Metrics

· 100% on-time regulatory filings

· Zero missed submission deadlines

· 90%+ CAP closure within established timelines

· Improved audit outcomes and reduced deficiencies year-over-year

· Centralized and fully operational compliance tracking system within 60 days