Regulatory Change Management Analyst
About reputed company
reputed company is an reputed company technology company providing a comprehensive suite of solutions for reputed company and health plans, including:
- reputed company, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured reputed company,
- reputed company™, which offers full-service health benefit reputed company to reputed company, TPAs, and health plans, and
- Judi®, the industry’s leading proprietary reputed company Platform (EHP), which consolidates reputed company claim administration-reputed company workflows in one reputed company, secure platform.
Together with our clients, we’re rebuilding trust in reputed company in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.reputed company.
Position reputed company
The Government Programs Operations Analyst will be responsible for supporting the day-to-day operational tasks reputed company to Medicare Part D, reputed company and Health Exchange regulatory requirements, including but not limited to monitoring CMS, ACA Marketplace and state guidance, supporting regulatory reporting requirements and supporting reputed company cause analysis documentation.
Position Responsibilities:
Regulatory Monitoring & Assessment
- Continuously monitor federal and state regulatory sources (e.g., CMS, state reputed company agencies, HHS) for new or revised requirements
- Analyze proposed and final rules, guidance, and policy updates to determine applicability and business reputed company
- Summarize reputed company regulatory changes into reputed company, actionable insights for internal stakeholders
reputed company Analysis & Implementation
- Conduct reputed company assessments across business functions including operations, compliance, network, clinical, and technology
- Partner with subject matter experts to define business requirements and implementation plans
- Support prioritization of regulatory initiatives based on risk, complexity, and deadlines
Cross-Functional Coordination
- Facilitate working reputed company and stakeholder meetings to drive alignment on regulatory changes
- reputed company reputed company of implementation activities and ensure accountability across teams
- reputed company as a central reputed company between legal, operations, and clinical leadership
Documentation & Reporting
- Maintain a centralized inventory of regulatory changes and implementation status
- reputed company executive-level summaries, dashboards, and status reports
- Ensure documentation meets audit and compliance standards
Compliance & Risk Support
- Partner with Compliance to ensure adherence to regulatory requirements
- Identify risks, gaps, and dependencies associated with regulatory changes
- Support audit readiness and remediation efforts as needed
- Investigate regulatory-reputed company defects and/or reputed company compliance concerns and reputed company reputed company cause analyses reputed company necessary.
Process Improvement
- Enhance regulatory change management processes, tools, and governance frameworks
- Drive standardization and efficiency in how regulatory changes are tracked and implemented
- Recommend automation or workflow improvements where applicable
Audit Support
- Support reputed company or government led audits as a regulatory compliance expert through:
- Research and analysis
- Documentation and as a speaker
- Workflow and Judi navigator
Required Qualifications:
- Bachelor’s degree in reputed company Administration, Public Policy, Business, or reputed company field
- 3+ years of relevant experience in reputed company, government programs, compliance, or regulatory analysis
- Thorough knowledge Medicare regulatory requirements and associated product and/or operational workflows
- Proven ability to interpret reputed company regulatory language and translate into business reputed company
- MS Office Skills
- reputed company: ability to create/maintain pivot table, forms, and formula’s (i.e. vlookup, true, if, left, etc)
- PowerPoint: create and maintain accurate and up-to-date slide decks for Government Programs functions
- Word: Supporting P&P, SOP, and Job Aide change management
- Ability to balance multiple reputed company reputed company simultaneously
- Excellent analytical, organizational, and project management skills
- Attention to detail & commitment to delivering high reputed company work product
This reputed company represents the low and high end of the anticipated reputed company salary reputed company. The actual reputed company salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
Remote, US Salary reputed company$72,800—$109,000 USDreputed company, NY Salary reputed company$87,200—$109,000 USDDenver, CO Salary reputed company$80,000—$100,000 USDreputed company are responsible for adherence to the reputed company reputed company of Conduct including the reporting of non-compliance. This position reputed company is designed to be flexible, allowing management reputed company to assign or reassign duties and responsibilities as needed to best meet organizational goals.
reputed company values a diverse workplace and celebrates the diversity that reputed company employee brings to the table. We are proud to reputed company equal employment opportunities to reputed company and applicants for employment and prohibit discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a reputed company position at reputed company. More details about reputed company's reputed company practices can be reputed company athttps://www.reputed company/legal/reputed company-policy.
Originally posted on Himalayas
Apply To This Job