Regulatory Operations Analyst III

March 14

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

+3 more states

🏄 California – Remote 🌽 Illinois – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $68.7k - $123.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Centene Corporation

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Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Reviews, interprets and summarizes proposed and enacted legislation and regulatory updates to the business • Performs state or federal policy research and regulatory change monitoring • Identifies, analyzes and interprets proposed or enacted legislation related to Centene's commercial product • Independently performs risk assessments • Maintains database and other reference materials related to legislative and regulatory issues • Performs comprehensive, complex regulatory analyzes, including the review, summarization and dissemination of key regulatory updates • Leads regulatory interpretation related to Commercial/ACA Rules and regulations • Provides advice to business as new regulations emerge • Uses persuasive arguments and secures cooperation from the business • Develops trust-based relationships within varied audiences • Attends cross-departmental meetings as department representative • Solutions to address potential legal, contractual and/or regulatory issues • Support and manage relationships between health plans and regulatory agencies • Independently drafts responses to external requests for information required by the organization • Responsibility for understanding regulations and business needs for multiple states • Assesses and analyzes objections related to regulatory interpretation • Partners on response with cross-functional partners as needed • Leads the research and regulatory guardrails for new state entry and new product development • Assists in developing and mentorship of junior employees • May attend external and/or virtual conferences and seminars

🎯 Requirements

• Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required • Master's Degree in a related field, Juris Doctorate degree may be considered in place of experience preferred • 4+ years experience in health insurance, legal, compliance or related field required • Experience reviewing regulations and providing interpretation using terms appropriate for the audience preferred • Experience in commercial health insurance and/or behavioral health managed care preferred

🏖️ 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