• Participate in Regulatory Review Committee Meetings, Healthcare Reform Meetings, Regulatory Oversight Meetings, CMS User Calls, and Government Programs Compliance Committee Meetings to monitor new regulations and provide necessary updates to these committees • Monitor national and state healthcare regulation requirements and update appropriate stakeholders of changes or new requirements • Take the lead on any new business issues and opportunities generated by Government and/or Commercial laws, rules, regulations or guidelines that impact Consumer Delivery • Ensure successful implementation and execution of regulatory compliance requirements including project leadership and governance; ensure appropriate requirements are in place for new Client and Group implementations • Establish and maintain engaged relationships with leadership of other functional areas within the corporation (can include Government Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims, Member Materials, IT, etc.) to ensure effective collaboration, communication, and delivery of required regulations • Recommend changes to policies and procedures based on regulatory changes • Liaison with Internal Audit and External Audit teams to represent departments in CMS, Client, mock, and vendor audits • Review audit feedback, initiate action items related to audit or compliance review findings, and recommend ideas for improvement and summarize action plans • Other duties as assigned