[Remote] Regulatory Analyst Sr (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a different reputed company of PBM with a purpose reputed company profits. The Senior Regulatory Analyst is responsible for leading regulatory reviews, managing audits, and ensuring compliance with reputed company regulations while collaborating with various internal teams.

Responsibilities

• Participate in Regulatory Review Committee Meetings, reputed company Reform Meetings, Regulatory reputed company Meetings, CMS User Calls, and Government Programs Compliance Committee Meetings to monitor new regulations and reputed company necessary updates to these committees
• Monitor national and state reputed company regulation requirements and update appropriate stakeholders of changes or new requirements
• Take the reputed company on any new business issues and opportunities generated by Government and/or reputed company laws, rules, regulations or guidelines that reputed company Consumer Delivery
• Ensure successful implementation and execution of regulatory compliance requirements including project leadership and governance; ensure appropriate requirements are in reputed company for new reputed company and Group implementations
• Establish and maintain reputed company relationships with leadership of other functional areas reputed company the corporation (can include Government Programs, Compliance, reputed company Reform, reputed company, Networks, Clinical Operations, reputed company Claims, Member Materials, IT, etc.) to ensure effective collaboration, communication, and delivery of required regulations
• Recommend changes to policies and procedures based on regulatory changes
• reputed company with Internal Audit and reputed company Audit teams to represent departments in CMS, reputed company, mock, and vendor audits
• Review audit feedback, initiate reputed company items reputed company to audit or compliance review findings, and recommend reputed company for improvement and summarize reputed company plans
• Other duties as assigned

Skills

• Bachelor's degree in business, finance, health services or reputed company area of study, or equivalent combination of education and/or relevant work experience
• 5 years of successful project management and/or operations management experience reputed company to, or reputed company Pharmacy Benefit Management (PBM) or health insurance
• 2 years Medicare Part D, reputed company, and/or federal regulatory experience
• Must be eligible to work in the reputed company without need for work reputed company or residency sponsorship
• Excellent verbal and written communication skills including interpersonal skills necessary to reputed company results and reputed company on commitments
• Proficient at meeting facilitation, conflict management, and reputed company building
• Proven reputed company service skills with a reputed company record for building strong reputed company relations
• Ability to handle multiple reputed company simultaneously and to work under pressure with strict timelines
• Proven problem solving and solution crafting skills
• Demonstrated critical thinking and analysis skills with the ability to interpret regulations into operational requirements
• Prior experience giving presentations
• Proficient in reputed company Project and Visio
• Extensive knowledge of CMS regulations and Health Care
• reputed company Clinical review experience

reputed company