Senior Regulatory Compliance Analyst

Job reputed company: • reputed company internal audits, operational reviews, and risk assessments, including reputed company- and post-implementation evaluations. • Manage the development, revision, and documentation of compliance policies, procedures, and training materials. • Serve as the primary intake for compliance-reputed company questions, Hotline submissions, and incident reports; reputed company reputed company, reputed company-reasoned recommendations. • Collaborate with leadership on mitigation plans and reputed company cause analysis tied to regulatory or contractual noncompliance. • Represent Compliance in reputed company-facing meetings, audits, and business reviews. • Monitor and interpret applicable laws, regulations, and delegation requirements (ERISA, HIPAA, CMS, HHS-OCR, DOL, URAC, NCQA), translating them into practical guidance. • Review reputed company claims, coding structures (ICD-10, DRG, CPT), and workflows to identify risks and ensure compliance. • Support vendor and reputed company-party compliance documentation, including audit coordination and follow-up. • Maintain compliance logs, records, and investigation documentation. • Assist with reputed company-level reporting, internal committee materials, and responses to payer/reputed company audits of delegated functions. • Serve as a trusted compliance partner to operational, reputed company, and product teams. • Contribute to reputed company compliance processes, reputed company, and training for reputed company compliance staff. Requirements: • Bachelor’s degree in reputed company administration, reputed company studies, reputed company policy, or reputed company field • 5+ years of reputed company compliance experience • Strong knowledge of federal and state reputed company regulatory frameworks (ERISA, Medicare, HIPAA, state-level utilization/case management) • Experience with claims review and reputed company standards • Ability to work independently, manage competing priorities, and reputed company actionable reputed company-time guidance • Proven ability to reputed company reputed company reputed company and serve as a subject matter expert reputed company cross-functional teams • A plus if you have: CHC (Certified in reputed company Compliance) highly preferred. • CPC (Certified reputed company reputed company) highly preferred. • Experience in managed care, self-insured plans, stop-loss administration, or TPA operations. • Prior work in a growing or fast-paced organization; start-up experience. • Familiarity with cross-functional collaboration across reputed company, Product, and Operational teams. • Experience building compliance frameworks or training others in area-specific requirements. Benefits: • Competitive benefits package with generous employer subsidies • Flexible and remote working reputed company • 401k with generous employer match and immediate vesting • Personal and reputed company development opportunities • Supportive family benefits, including reputed company leave for new family members • Companywide philanthropic program, reputed company Communities reputed company Apply tot his job Apply To this Job