法规分析师
Regulatory Analyst
职位职责：负责研究和分析医疗补助（Medicaid）法规并管理指定的交付成果。作为与州医疗补助监管机构的联络人。执行高级别运营控制的趋势分析和评估活动。
关键信息：该职位为全远程工作，要求在太平洋时间的工作时间内有空。候选人应具备5年以上合规和监管经验，并拥有医疗保健相关专业或同等经验的学士学位。理想的候选人应具有支持华盛顿苹果健康医疗补助管理计划的经验，直接与州监管机构合作，并管理正式的监管沟通。具备强大的技术写作能力，能够解读复杂的法规和合同要求，并将其转化为清晰的操作指南是必要的。该职位将定期参与与州机构和利益相关者的外部会议，包括记录关键讨论、行动事项和后续活动。
在此职位上，您将：
- 作为与州医疗补助监管机构的联络人，协调大量进出的监管沟通，监督复杂的审计交付成果，并协调监管交付成果的及时审查和提交
- 使用各种电子资源研究医疗保健及相关法规，包括《华盛顿行政法典》、《联邦登记册》和《联邦法规汇编》
- 识别影响医疗计划运营的法律和法规，包括与医保、医疗补助和《患者保护与平价医疗法案》（ACA）相关的法规，以及由相关机构（包括CMS和各州医疗补助机构）发布的法规
- 审查和分析立法法案对医疗计划的影响
- 起草并发布监管更新摘要，向内部客户传达影响医疗计划运营的法规和合规相关内容
- 回应内部利益相关者关于非常规问题的咨询，这些问题涉及法规或相关事项
- 协调跨职能会议，提供监管更新并跟踪监管要求的运营实施情况
- 与内部和外部团队、法律和监管资源合作，就解决潜在法律、合同和/或监管问题的解决方案进行协作
- 进行临时性研究，分析、解释并传播有关合同和
查看英文原文
Position Purpose: Responsible for researching and analyzing Medicaid regulations and managing deliverables, as assigned. Serve as a liaison with the state Medicaid regulator. Perform trend analysis and assessment activities of high-level operational controls.
Key Details: This fully remote role requires availability during Pacific Time business hours. Candidates should have 5+ years of compliance and regulatory experience and a bachelor's degree in Healthcare, a related field, or equivalent experience. Ideal candidates will have experience supporting Washington Apple Health Medicaid managed care programs, working directly with state regulators, and managing formal regulatory communications. Strong technical writing skills and the ability to interpret complex regulatory and contractual requirements and translate them into clear operational guidance are essential. This role will regularly participate in external meetings with state agencies and stakeholders, including documenting key discussions, action items, and follow-up activities.
In this role, you will:
- As a liaison with the state Medicaid regulator, coordinate a high volume of incoming and outgoing regulatory communications, oversee complex audit deliverables and coordinate timely review and submission of regulatory deliverables
- Research health care and related regulations using various electronic resources, including the Washington Administrative Code, Federal Register and Code of Federal Regulations
- Identify laws and regulations that affect health plan operations, including those related to Medicare, Medicaid, and the Patient Protection and Affordable Care Act (ACA), and those issued by relevant agencies, including CMS and Medicaid agencies of the various states
- Review and analyze legislative bills for impact to health plan
- Draft and issue summaries of regulatory updates to internal customers of regulations and compliance related regulations that affect health plan operations
- Respond to inquiries from internal stakeholders relating to non-routine questions relating to regulatory or related matter
- Coordinate cross-functional meetings to provide regulatory updates and track operational implementation of regulatory requirements
- Collaborate with internal and external teams, legal and regulatory resources regarding solutions to address potential legal, contractual and/or regulatory issues
- Conduct ad hoc research to analyze, interpret and disseminate guidance on contractual and regulatory requirements
- Draft regulatory operations policies, procedures and job aids
Education/Experience: Bachelor’s degree in Healthcare, related field or equivalent experience. 5+ years of compliance and regulatory experience. Experience with licensure filings, corporate governance, and contract management is preferred, ideally within the Medicare or Medicaid industry.
Pay Range: $70,100.00 - $126,200.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Originally posted on Himalayas