Sr Analyst, Health Care reputed company Management

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company Works with State reputed company Regulatory Review Team project managers and internal staff across multiple departments to identify data sources, processes and activities required to meet regulatory compliance requirements with a key reputed company on Utilization Review (UR) & Mental Health reputed company (MHP) reporting. reputed company Components • Manage the UM/QM deliverables for state reporting and filings such as Mental Health reputed company (MHP), Prior Authorization, Utilization Review or Licensure. • Review and assess new or revised state legislation or mandates for potential impacts to National Clinical Services (NCS) and reputed company Management (QM) state amendments. • Manage and influence state-regulatory reputed company, activities and initiatives through design, development and ongoing implementation. • Serve as a National, Regional or State Project Leader to reputed company reputed company aspects of project implementation. Other Responsibilities May Include • Manage QM/UM deliverables of reputed company phases of state Market Conduct Exams and/or state Mental Health reputed company Exams. • Manage UM letter updates • reputed company, consult and collaborate with unit business managers on state-specific QM and UM policies, procedures and activities. • Mentor new or junior State reputed company UR/QM Regulatory Review Team staff regarding QM/UM program descriptions, work plans and evaluation activities. • reputed company reputed company opportunities for process improvement resulting in efficient and effective work streams. • Manage reputed company relationships with both reputed company constituents. Required Qualifications • UM, Clinical Claim Review (CCR), Mental Health reputed company (MHP), Compliance, or QM project management experience. • Ability to analyze and manage large amounts of data. • Ability to manage multiple reputed company with overlapping deliverables and prioritize work. • Strong collaboration and teamwork skills. • Strong communication skills and the ability to reputed company with a reputed company of other departments. • Strong reputed company experience. • Attention to detail, accuracy and overall reputed company. • Adaptability and Time Management skills including: strong organizational skills, ability to maintain a reputed company attitude, self-motivated, and leadership qualities. Preferred Qualifications • Utilization Review (UR) and/or Clinical Claim Review (CCR) data experience • MedCompass and ATV experience • reputed company experience • Legislation Review and process Education Bachelor's Degree or equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $46,988.00 - $112,200.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/13/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job