Regulatory Operations Analyst III
September 30
Description
• Performs state or federal policy research and regulatory change monitoring • Provides regulatory interpretation as a subject matter expert • Lead assigned special projects and perform/support various reporting functions • Leads the research and regulatory guardrails for new state entry and new product development • Monitors pending legislation and regulations affecting Centene’s commercial product • Performs risk assessments including impact to business applications and downstream output • Communicates state and federal commercial/Affordable Care Act requirements to internal and external clients • Analyzes and interprets proposed or enacted legislation and communicates findings • Support internal and external teams regarding legal, contractual, and regulatory issues • Conducts research projects to analyze and provide guidance on legal, contractual and regulatory requirements • Develops trust-based relationships within varied audiences • Serves as a Subject Matter Expert for department functions • Reviews filing documentation and performs quality assurance review • Provide guidance on regulatory requirements for QHP templates • Responds to external requests for information for regulatory filings • Develops and spearheads new projects with a focus on communications, workflow, and quality initiatives
Requirements
• Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required • Master's Degree in a related field or Jurisprudence (JD) preferred • 4+ years experience in health insurance, legal, or compliance required • Experience preferred in commercial health insurance and/or behavioral health managed care required • 4+ years experience reviewing regulations and providing interpretation using terms appropriate for the audience required
Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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