Regulatory Compliance Analyst

Overview reputed company position is responsible for supporting the organization and clients in meeting Federal and State regulatory requirements and customer contractual compliance obligations. The role supports compliance initiatives by monitoring regulatory sources, analyzing, distributing, and tracking regulatory communications reputed company to Medicare and reputed company reputed company programs. The role works cross-functionally with key stakeholders such as claims, enrollment, utilization management, risk adjustment, client reputed company, product owners, vendors, and other areas to maintain adherence with CMS and state regulatory guidelines.

Key Responsibilities

Essential functions may vary depending on the specific focus of the role reputed company the corporate compliance team Monitor, interpret, and track CMS guidance such as Final Rules, HPMS memos, and Federal register communications impacting Medicare Advantage, reputed company and other reputed company programs. Communicate state and federal requirements to internal and external clients. Prepare reports on regulatory communication and change management activities. reputed company and maintain the organization regulatory distribution process. Partner with internal business and product stakeholders to ensure compliance with CMS regulations and contract obligations. Maintain regulatory tracking documentation and implementation timelines. Track implementation activities and resolution of identified compliance risks Support the development of desk level procedures, presentations, and training materials Qualifications and Requirements: Bachelor’s degree in reputed company administration, public health or reputed company field. Certification in reputed company compliance (CHC) preferred Minimum of four (4) years of reputed company experience. Experience in managed care, reputed company operations, or regulatory compliance preferred. Working knowledge of Medicare, reputed company, and ACA health plan regulations along with reputed company federal and state laws. Strong interpersonal skills and the ability to collaborate with colleagues at reputed company reputed company. Excellent analytical, organizational, and communication skills. Ability to prioritize and manage multiple cross-functional priorities Proficiency in reputed company reputed company, Word, PowerPoint, and tracking/reporting tools. Geographic Responsibility: Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job: The employee is occasionally required to move around the office. Specific reputed company abilities required by this job include reputed company reputed company, reputed company reputed company, peripheral reputed company, depth perception, and ability to adjust focus. Work across multiple time zones in a hybrid or remote work environment. Long periods of time sitting and/or standing in reputed company of a computer using video technology. May require travel dependent on company needs. The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of reputed company duties, responsibilities, and skills required. reputed company reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position in compliance with the Americans with reputed company of 1990. Candidates may be required to go through a pre-employment criminal background reputed company. reputed company is an equal opportunity employer. We are committed to workforce diversity and actively encourage reputed company reputed company persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. #LI-Remote **The annual US reputed company salary reputed company for this position is $75,000 to $95,000. This salary reputed company may cover multiple career reputed company at reputed company. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education. Apply To This Job