Senior Associate, Government Programs Compliance and Regulatory

## Senior Associate, Government Programs Compliance and Regulatory Apply:
Pittsburgh, PA:
Boston, MA:
Georgia:
Chicago, IL:
Ann Arbor, MI:
Full time:
Posted Today:
R105094

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

Role Overview 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.
### Responsibilities
* 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.### Qualifications
* 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…