Regulatory Compliance & Policy Lead

Regulatory Subject Matter Expertise: Act as the subject matter expert for all regulatory compliance and privacy-related considerations during the reengineering of PRMP's processes. Policy Gap Analysis: Lead the analysis of gaps between current-state and desired future-state, ensuring full compliance with applicable laws and regulations. Documentation and Controls: Develop and maintain clear and actionable policy documentation, compliance checklists, and decision frameworks in support of reengineered processes. Change Management Support: Support change management efforts by embedding compliance and privacy risk awareness into stakeholder communications, training materials, and implementation plans. Monitoring and Adjustment: Monitor regulatory developments and adjust recommendations and controls as necessary to maintain compliance throughout the project. Minimum five (5) years of experience in regulatory compliance, policy development, and privacy management, preferably within healthcare, government, or highly regulated industries. Proven experience leading or advising on compliance and policy alignment in business process reengineering, transformation, or large-scale operational change initiatives. Minimum five (5) years of working knowledge of HIPAA Privacy and Security Rules, Health Information Technology for Economic and Clinical Health (HITECH) Act, and other applicable federal and state privacy regulations. Minimum of two (2) years of experience in Medicaid eligibility processes, including policy, determinations, and enrollment. Bachelor's degree or a minimum of four (4) years of related experience. Minimum of two (2) years of experience with process mapping, gap assessments, and control remediation within reengineering or digital transformation projects. Fluency in Puerto Rican Spanish, including the ability to read, write, and communicate clearly and accurately. Proficiency should reflect a strong understanding of regional linguistic and cultural nuances relevant to the Puerto Rican population. Demonstrated ability to work collaboratively across functional teams including IT, Legal, Operations, and Executive Leadership. Experience working in or with public sector agencies or complex, multi-stakeholder environments is highly desirable. Knowledge of industry-recognized BPR methodologies, frameworks, and best practices, including Lean, Six Sigma, or equivalent process improvement approaches. Prefer on island in Puerto Rico. Strong problem-solving, teamwork and customer service skills.