Senior Associate, Government Programs Compliance and Regulatory

Ankura is a team of excellence founded on innovation and growth.

Ankura is seeking a Senior Associate to support client engagements involving compliance, operational, and regulatory matters across Medicare Advantage, Medicaid managed care, and Affordable Care Act programs.

The Senior Associate will conduct regulatory research; analyze health plan data, documentation, policies, and operational processes; and develop findings, work papers, reports, presentations, and other client deliverables. The successful candidate will understand how CMS guidance, state contractual requirements, and other regulatory expectations translate into day-to-day health plan operations.

• Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and Affordable Care Act programs.
• Interpret CMS guidance, state Medicaid contracts, regulatory communications, and other requirements to evaluate their impact on health plan operations.
• Review health plan policies, procedures, reports, data, operational documentation, and other supporting materials to assess compliance with applicable requirements.
• Analyze regulatory and operational issues, identify potential gaps or areas of risk, and communicate findings clearly to engagement leadership.
• Develop clear, accurate, and well-supported work papers, findings, reports, presentations, and other client deliverables.
• Take ownership of defined project work streams, including coordinating assigned activities, monitoring progress, and completing deliverables within established timelines.
• Work with Project Managers and other engagement leaders to understand client concerns, define project objectives, and develop effective work plans.
• Apply structured problem-solving and critical-thinking skills to complex regulatory, compliance, and operational questions.
• Communicate project updates, emerging issues, and findings to engagement leadership in a timely manner.
• Collaborate effectively with colleagues and client stakeholders to build and maintain strong working relationships.
• Review and provide guidance on work completed by junior team members, as appropriate.
• Support the successful completion of high-quality client deliverables within the desired timeframe.
• Contribute to practice development, internal knowledge sharing, and the continued development of tools, methodologies, and service offerings.
• Maintain the confidentiality of client information and understand the importance of privileged and confidential communications.

• Bachelor’s degree from an accredited college or university.
• Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field.
• Experience working with Medicare Advantage, Medicaid managed care, Affordable Care Act programs, or other government-sponsored health care programs.
• Working knowledge of CMS guidance, state Medicaid contractual requirements, and the operational processes used by health plans to implement regulatory requirements.
• Experience conducting regulatory research and translating complex requirements into practical operational considerations.
• Experience analyzing health plan data, policies, procedures, documentation, or operational processes.
• Strong analytical, critical-thinking, and problem-solving skills.
• Demonstrated ability to develop clear, concise, and well-supported written analyses and client deliverables.
• Excellent written and verbal communication skills.
• Ability to manage multiple assignments, establish priorities, and meet deadlines in a client-service environment.
• Ability to work effectively both independently and as part of a collaborative engagement team.
• Experience supporting or guiding junior team members is preferred.
• Proficiency in Microsoft Excel, Word, and PowerPoint, including the ability to develop reports, work papers, analyses, and presentations.
• Willingness to travel based on client and engagement needs.

• Consulting or professional services experience.
• Experience assessing health plan compliance with regulatory or contractual requirements.
• Experience with compliance audits, operational reviews, risk assessments, corrective action plans, and regulatory readiness activities.
• Familiarity with multiple functional areas of health plan operations.
• Experience interacting directly with clients or senior internal stakeholders.

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