Regulatory Affairs Consultant - DMHC Medical Survey Readiness - Remote

Irvine, California (United States) Overview In this role you will lead the DMHC medical survey readiness for Optum's California health plans, directing readiness, regulatory responses, and corrective actions. You will coordinate cross-functional teams to ensure compliance with Knox-Keene and DMHC requirements, while monitoring regulatory developments and driving process improvements. You'll serve as the main liaison between health plan leadership and regulators, shaping how the organization prepares for and responds to surveys. This position offers remote work with the potential for strong visibility and impact across the enterprise. Compensation / Benefits telecommuter policy comprehensive benefits package incentive and recognition programs equity stock purchase 401k contribution Responsibilities Lead DMHC medical survey readiness activities for routine, focused, follow-up, and ad hoc surveys Coordinate survey documentation collection, review, validation, and submission across California health plans Establish and maintain a comprehensive survey readiness program with workplans, timelines, and issue tracking Conduct readiness assessments, gap analyses, mock audits, and reviews using DMHC TAGs and regulations Lead cross-functional readiness meetings and drive accountability for CAPs and remediation Monitor regulatory developments and assess operational impact on readiness Identify regulatory risks and communicate them to leadership Implement corrective actions with business leaders to drive sustainable improvements Standardize survey readiness practices across all Optum CA health plans Track, report, and close survey findings, CAPs, and remediation milestones Provide executive reporting on readiness, risks, findings, and mitigation Align policies and processes with Knox-Keene and DMHC requirements Coordinate regulator interviews, conferences, and survey activities Maintain regulatory evidence repositories and controls for survey preparation Develop and deliver training on DMHC survey expectations and readiness best practices Serve as liaison between health plans and DMHC for inquiries and action items Support additional regulatory initiatives and special projects as assigned Key requirements 5+ years in health plan regulatory affairs, regulatory compliance, quality management, accreditation, audit management, or health plan operations Experience with Knox-Keene Act, DMHC regulations, and California regulatory oversight Experience coordinating or managing regulatory surveys, audits, or accreditation reviews Experience leading enterprise-wide regulatory initiatives with multiple stakeholders Ability to manage complex regulatory initiatives with competing priorities and executive stakeholders Experience preparing executive leadership for regulatory reviews or examinations Strong analytical, organizational, project management, written and verbal communication skills Ability to translate regulatory requirements into operational action plans and improvements strong written and verbal communication project management and coordination stakeholder management and cross-functional collaboration DMHC regulations and Knox-Keene Act knowledge DMHC Technical Assistance Guides (TAGs) regulatory readiness and remediation processes