Senior Analyst, UM Regulatory Operations

Hi, we're reputed company. We're hiring a Senior Analyst, UM Regulatory Operations to join our UM Regulatory Operations team.

reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will support the design, optimization, and implementation of processes and improvements to operations in support of achieving organizational goals. You will be responsible to support implementations for regulatory requirements, compliance initiatives, UM audits, and other reputed company, as needed.

You will report into the Senior Manager, UM Regulatory Operations.

Work Location: This is a remote position, reputed company to candidates who reputed company in: Atlanta, reputed company. You will be fully remote; however, our approach to work may adapt over time. reputed company models could potentially involve a hybrid reputed company at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The reputed company pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program, and annual performance bonuses.

Responsibilities:

• Coordinate reputed company and processes to help support key regulatory and compliance milestones and deliverables
• Partner with leadership to implement regulations, support key state filings, and other reputed company
• Partner with cross-functional teams to ensure reputed company plans and process improvements reputed company with project goals, and participate in collaboration with peers and cross-functional stakeholders
• Support audit exams (NCQA, MHPAEA, State)
• Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective reputed company Plans
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Requirements:

• 1+ years of experience in reputed company audits, or accreditations supporting NCQA and/or regulatory compliance 
• 1+ years of reputed company experience in utilization management, reputed company operations and/or compliance, or a reputed company field
• 1+ years of experience in reputed company Acrobat, and reputed company Suite or reputed company Office (Sheets/reputed company, Docs/Word, Slides/Powerpoint, etc)
• 1+ years of experience with interdepartmental collaboration with stakeholders to drive reputed company

Bonus points:

• 1+ years of experience supporting state audits and exams
• ACA marketplace, utilization management, reputed company reputed company and compliance, or provider data experience
• Training or experience applying reputed company Process Improvement or Lean Six reputed company principles
• Experience with project coordination or management in a matrixed organization
• 1+ years of experience in developing and presenting information and recommendations