Regulatory Compliance Analyst III – Government Programs, Medicare/Medicaid
- Job Description:
- Monitor and analyze federal and state laws and guidance impacting CareCentrix’s government programs
- Provide cross-functional guidance in developing policies, procedures, and operational changes
- Coordinate and support compliance audits
- Assist with onboarding new government program customers
- Drive continuous improvement initiatives
- Conduct internal audits to assess compliance effectiveness
- Design and deliver training programs
- Requirements:
- Bachelor’s degree preferred or a minimum of 5 years’ experience in a managed care setting
- Minimum 5 years’ experience working with managed care laws impacting Medicare Advantage and/or managed Medicaid health insurers and delegated entities
- Demonstrated experience in regulatory affairs and/or operations of HMOs, Managed Care Organization’s and/or government program health plans
- Proficiency in MS Office: Excel, SharePoint, PowerPoint, OneNote
- Advanced legal research skills
- Advanced organizational and analytical skills
- Excellent written and verbal communication/presentation skills and attention to detail
- Strong knowledge of Medicare Advantage guidelines and state regulations applicable to Managed Medicaid
- Benefits:
- Medical
- Dental
- Vision
- 401(k) with company match
- HSA employer contributions
- Dependent Care FSA employer contribution
- Paid Time Off
- Personal/Sick Time
- Paid Parental Leave
- corporate bonus incentive
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Apply Now