Clinical Regulatory Oversight, Program Manager V

The Clinical Regulatory Oversight Program Manager is responsible for supporting the operational implementation, execution, and ongoing oversight of federal, state, and accreditation requirements impacting Clinical Services, including Utilization Management (UM), and Appeals and Grievances (AG) and Care Management (CM). This role serves as a clinical regulatory subject matter expert, ensuring policies, procedures, workflows, letter templates, and delegated vendor activities remain compliant with applicable regulatory standards.