Analyst III - Regulatory Compliance - Government Programs

Employer Industry: Managed Care and Healthcare Compliance

Why consider this job opportunity:

• Salary up to $89,000 per year plus corporate bonus incentive
• Comprehensive benefits package including Medical, Dental, Vision, and 401(k) with company match
• Paid Time Off, Personal/Sick Time, and Paid Parental Leave
• Opportunity to work within an award-winning culture that values excellence and integrity
• Drive continuous improvement initiatives that impact compliance across the organization
• Engage in strategic thinking and collaboration with leadership to influence future trends

• Monitor and analyze federal and state laws impacting government programs, ensuring compliance with legal obligations
• Provide guidance in developing policies and procedures to support operational compliance across teams
• Coordinate compliance audits, ensuring accurate and timely responses for Medicare Part C and Managed Medicaid
• Assist with onboarding new government program customers, integrating compliance requirements into operations
• Conduct internal audits to assess compliance effectiveness and identify areas for improvement

• Bachelor’s degree preferred or a minimum of 5 years’ experience in a managed care setting
• Minimum of 5 years’ experience with managed care laws affecting Medicare Advantage and/or managed Medicaid
• Demonstrated experience in regulatory affairs and operations of HMOs and Managed Care Organizations
• Proficiency in MS Office applications including Excel, SharePoint, and Power Point
• Strong knowledge of Medicare Advantage guidelines and state regulations applicable to Managed Medicaid

• Master’s degree, JD, or paralegal experience preferred
• Advanced legal research skills and exceptional organizational and analytical abilities
• Excellent written and verbal communication and presentation skills

#Managed Care #Healthcare Compliance #Career Opportunity #Competitive Pay #Continuous Improvement

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