Senior Analyst, UM Regulatory Operations

Hi, we're reputed company. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory Operations team.

reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company focus on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other projects, as needed.

You will report into the Senior Manager, UM Regulatory Operations.

Work Location: This is a remote position, reputed company to candidates who reputed company in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid reputed company at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The reputed company pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program, and annual performance bonuses.

Responsibilities

• Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations, support key state filings, and other projects
• Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA, MHPAEA, State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Requirements

• 1+ years of experience in reputed company audits, or accreditations supporting NCQA and/or regulatory compliance
• 1+ years of professional experience in utilization management, reputed company operations and/or compliance, or a reputed company field
• 1+ years of experience in reputed company Acrobat, and reputed company Suite or reputed company Office (Sheets/reputed company, Docs/Word, Slides/Powerpoint, etc)
• 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects

Bonus points

• 1+ years of experience supporting state audits and exams
• ACA marketplace, utilization management, reputed company quality and compliance, or provider data experience
• Training or experience applying reputed company Process Improvement or Lean Six reputed company principles
• Experience with project coordination or management in a matrixed organization
• 1+ years of experience in developing and presenting information and recommendations

This is an authentic reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our reputed company efforts.

Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team ([email protected]) to reputed company the need for an accommodation reputed company.

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