Regulatory Compliance Analyst; Remote - Privacy

Resp & Qualifications

The Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries and provide interpretation of regulatory rules and guidelines to demonstrate compliance with state and federal requirements.

The Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries and provide interpretation of regulatory rules and guidelines to demonstrate compliance with state and federal requirements.

• Provide interpretation of regulations and regulatory rules/guidelines to ensure compliance with state and federal requirements. Review and analyze all data received to generate comprehensive written responses to the originating party. Strategize with Legal and Compliance as needed to identify the best response to the complaint. Maintain positive, responsive, respectful relationships with all regulators. Occasional external contact with Regulatory Agency Investigators.
• Identify potential volatile activity by gathering and analyzing regulated organizational data. Research, resolve and respond to written and telephone inquiries received. Coordinate with internal and external parties to ensure accurate information is obtained. Review and analyze provided data and information. Provide detailed professionally written responses to originating party, ensuring all questions are answered and customer needs are effectively served within designated time frames while ensuring privacy needs of members are respected.
  
  Maintain database of cases.
• Review, analyze, prepare detailed documentation for support of legal action pertaining to the organization indemnity business, ensuring that all appropriate materials, related claims, contracts, payment vouchers are included. Prepare investigative information and reports by collecting, analyzing, and summarizing data and trends; present recommendations.
• Improve regulatory investigation job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state‑of‑the‑art practices; participating in professional societies.
• Contribute to regulatory investigation and company success by welcoming related, different, and new requests; helping others accomplish job results.

Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

1 year experience in a regulatory, compliance or customer service role.

Demonstrated experience to on claims and service systems, business rules by product and platform.

• Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Ability to convey information in a clear, concise, and logical manner.
• Ability to effectively convey information to others.
• Excellent critical thinking and communication skills both written and verbal.
• Consistently maintains highly professional written and verbal interaction with all levels of staff within the company and with members of regulatory agencies.

$54,864 - $108,966

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.

In addition to your compensation, Care First offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Corporate…