Job Description

We’re seeking a sharp, proactive Regulatory Compliance Analyst to join our client's team and support operational compliance across core functions like billing, enrollment, and claims for a major health insurance issuer. In this role, you’ll monitor regulatory developments, track compliance gaps, and collaborate with operational teams to implement corrective actions. A strong legal or research background—particularly related to the Affordable Care Act—is a major plus.

What You’ll Do:

• Regulatory Research & Analysis: Monitor and interpret state and federal regulations, translating requirements into actionable guidance for internal teams.
• Compliance Tracking & CAP Management: Document compliance issues using tracking systems, develop and monitor Corrective Action Plans (CAPs), and ensure issues are resolved effectively and on time.
• Cross-Functional Collaboration: Partner with operations teams to investigate root causes of noncompliance, implement remediations, and update policies and procedures accordingly.
• Risk Monitoring: Analyze trends, flag potential compliance risks, and support resolution to maintain adherence to regulatory standards.

What We’re Looking For:

• Education & Experience:
• Bachelor's degree or equivalent experience
• Minimum 3 years in managed care, healthcare operations, or a related field
• Strongly preferred: experience with regulatory compliance and ACA-related regulations
• JD or legal research experience is highly desirable

Skills & Tools:

• Strong written and verbal communication skills
• Proficiency in Microsoft Office (especially Outlook, Teams, Word, Excel)
• Familiarity with Citrix and compliance tracking tools
• Detail-oriented, self-motivated, and comfortable working independently

Why Join Us:

If you’re someone who thrives on autonomy, enjoys deep regulatory research, and is passionate about improving healthcare compliance, this is the role for you.

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