Program​/Policy Analyst Sr, Covered Regulatory Affairs

Program/Policy Analyst Sr, Covered California
- Regulatory Affairs

Cal Optima

Join Us in this Amazing Opportunity

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

We are hoping you will join us as a Program/Policy Analyst Sr, Covered California
- Regulatory Affairs and help shape the future of healthcare where you'll be an integral part of our Office of Compliance team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Telework.

- If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Program/Policy Analyst Sr (Covered California Regulatory Affairs) will coordinate and maintain Cal Optima Health's relationships with regulatory agencies. You will be responsible for supporting, enhancing and strengthening Cal Optima Health's policy infrastructure, platform and strategy at the state level, including but not limited to contract compliance, statutory and regulatory obligations with Covered California, the Department of Managed Health Care (DMHC) and the Centers for Medicare and Medicaid Services (CMS).

You will be responsible for leading the coordination, tracking and filing of regular and ad-hoc reporting to Covered California, DMHC and CMS. Additionally, you will be responsible for completing a variety of detailed analyses, including the impact of regulatory changes from Covered California, the State of California and the federal government on Cal Optima Health. You will lead, support and assist with projects and other assignments related to the Regulatory Affairs department.

You will interact with Cal Optima Health's executives and departmental management, legal counsel and state and federal regulatory agencies as needed. Together, we are building a stronger, more equitable health system.

• 90% - Program Support
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Leads and supports the coordination, tracking and filing of regular and ad-hoc reporting to Covered California, DMHC and CMS.
• Completes assigned Requests for Guidance (RFG) with varying difficulty by analyzing state and federal resources and provides a summary analysis to the requesting department.
• Supports maintaining Cal Optima Health's daily relationship with Covered California and DMHC for Cal Optima Health's Covered California program.
• Researches, analyzes and makes recommendations regarding the regulatory implications of certain major initiatives for Cal Optima Health's Covered California program, e.g., integration of new benefits and populations.
• Researches and analyzes federal, state and local health policy issues that may impact Cal Optima Health's Covered California program.
• Monitors, disseminates and tracks regulatory communications from Covered California and DMHC impacting Cal Optima Health's Covered California program.
• Collaborates with other Cal Optima Health departments to respond to…