Regulatory Operations Business Analyst II

6 days ago

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

•Completes QHP federal and/or state required application templates •Conducts assigned special projects •Completes Qualified Health Plan templates and/or formal regulatory filing documents •Audits all QHP documents •Performs data entry and/or audits across Source of Truth documents •Attends, and engages in dynamic cross functional meetings •Collaborates with cross functional teams as a subject matter expert •Analyzes proposed and/or enacted federal and state legislation •Supports implementation of new regulations/legislation impacting QHP scope of work •Participates in managing relationships with regulatory agencies •Attends calls with regulators discussing QHP filing documents •Participates in onboarding of new employees and training of analysts •May attend external and/or virtual conferences and seminars

Requirements

•Bachelor's Degree in Business, Communications, Health Care, Political Science, related field or equivalent experience required •2+ years regulatory experience, including business process or data analysis experience in health insurance, legal, or regulatory compliance required •2+ years experience in commercial health insurance and/or behavioral health managed care preferred •2+ years knowledge of SERFF and/or HIOS systems 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