This position serves as support to the Cook Childrens Health Plans (CCHP) Regulatory Compliance Manager in carrying out compliance functions for CCHP to meet all State and Federal regulatory requirements. This position will work with the Regulatory Compliance Manager to aid and assist Plan management and peers to effectively design, market and implement insurance products consistent with State and Federal regulatory requirements. Assist in implementing regulatory compliance functions for CCHP. Assist in developing and maintaining effective working relationships with all levels of management and with external regulatory agencies such as the Department of Insurance (TDI), the Texas Health and Human Services Commission (HHSC), Office of the Inspector General (OIG) and the Office of Attorney General (OAG).
Minimum of 2 years managed care or health care benefits experience.
Minimum understanding of Texas rules and regulations, contract law, and the legislative process.
Must have knowledge of indemnity, managed health care, Medicaid and other insurance products and programs.
Must have ability to work independently Achievement oriented with excellent written and oral communication skills.
Must be well organized and work well with a diverse group of people.
Must be flexible and have the ability to work on many different assignments simultaneously.
Must be proficient in computer word processing.
Bilingual preferred with ability to translate written documents into Spanish.
Internal Number: 38075
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.