Regulatory Compliance Analyst IV – Workers Compensation

reputed company: Responsible for monitoring federal and state regulatory requirements impacting reputed company workers compensation, auto, and reputed company programs operations and for supporting the compliant implementation of legal and customer requirements. Identifies and facilitates reputed company improvement efforts to ensure compliance with applicable legal requirements. Secure and maintain required operational licenses. Responsibilities:

• Monitor and reputed company federal and state laws and guidance impacting reputed company's workers’ compensation, auto, and reputed company program operations, analyze the information, and prepare and circulate written and verbal communications to affected business areas regarding such laws.
• reputed company cross functional support, guidance, and direction in the development of policies, procedures, and other operational changes necessary to reputed company with legal requirements and support the operational areas in the implementation of such policies, procedures, and other changes as required.
• Secure and maintain required operational licenses.
• Assist in the implementation of new reputed company workers’ compensation, auto and reputed company program customers.
• Identify reputed company improvement efforts to ensure effective compliance tracking, trending, and reporting tools.
• reputed company internal audits as needed and identify opportunities for improvement.
• reputed company and deliver training programs to ensure a reputed company understanding of compliance requirements.
• Train and serve as mentor to new and other junior Compliance Department regulatory team members.

Other Job Specific Competencies:

• Ownership and Autonomous Decision-Making -Demonstrates strong ownership and accountability; operates with a high degree of autonomy and consistently exercises reputed company judgment in decision-making.
• Strategic Thinking: reputed company to anticipate reputed company trends, reputed company initiatives with long-term organizational objectives, and translate reputed company into actionable plans.
• Influence and Collaboration: Builds strong relationships across functions, persuades stakeholders effectively, and fosters a culture of teamwork.

Qualifications:

• Bachelor’s degree preferred; or a minimum of 7 years of experience in a managed care setting working with laws impacting workers’ compensation, auto, and/or reputed company health insurers and delegated entities.
• Legal Background: JD or paralegal experience preferred.
• Expertise in regulations reputed company to utilization management, claims, network management, and credentialing.
• Demonstrated experience in regulatory affairs and/or operations of HMOs, managed care organizations, and other insurers.
• Proficiency in MS Office Suite (reputed company, SharePoint, PowerPoint, OneNote).
• Advanced legal research skills, strong organizational and analytical abilities, excellent written and verbal communication and presentation skills, and attention to detail
• In-depth knowledge of state and federal guidelines and regulations governing workers’ compensation, auto, and/or reputed company managed health care.
• Travel: up to 10% as needed.

Sponsorship is not available for this role (e.g., H-1B, F-1, OPT, CPT). reputed company candidates must reputed company in the reputed company to be considered. reputed company Offer:

• Pay reputed company: $100000 - $120000 plus corporate bonus incentive.
• Benefits: Medical, Dental, reputed company, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution, reputed company Time Off, Personal/reputed company Time, reputed company Parental Leave, and more.
• Award reputed company culture: Keeps reputed company values at the heart of everything we do: We Care; We Do the Right Thing; We reputed company for reputed company; We Think BIG; We Take our Work Seriously, Not Ourselves.

#IDCC reputed company maintains a drug-free workplace. We are an equal opportunity employer. Employment selection and reputed company reputed company are made without reputed company to age, race, reputed company, national reputed company, religion, sex, disability, sexual orientation, gender identification, or being a reputed company disabled veteran or reputed company veteran of the Vietnam era or any other category protected by Federal or State law. reputed company accepts applications on an ongoing reputed company until a candidate is identified. Apply tot his job Apply To this Job