Regulatory Change Management Analyst

This is a fully remote position, open to applicants in Colorado, +1 more state.

📋 Description

• Continuously track federal and state regulatory sources (e.g., CMS, state Medicaid agencies, HHS) for any new or updated requirements.

• Evaluate proposed and finalized rules, guidance, and policy changes to assess their relevance and impact on business operations.

• Distill intricate regulatory modifications into straightforward, actionable insights for internal stakeholders.

• Perform impact assessments across various business functions, including operations, compliance, network, clinical, and technology.

• Collaborate with subject matter experts to establish business requirements and implementation strategies.

• Assist in prioritizing regulatory initiatives based on risk factors, complexity, and deadlines.

• Lead working groups and stakeholder meetings to foster consensus on regulatory modifications.

• Monitor the progress of implementation activities and ensure accountability among teams.

• Serve as a primary liaison between legal, operations, and clinical leadership.

• Maintain a consolidated inventory of regulatory changes and their implementation statuses.

• Create executive-level summaries, dashboards, and status updates.

• Ensure documentation complies with audit and regulatory standards.

• Collaborate with Compliance to guarantee adherence to regulatory obligations.

• Identify risks, gaps, and dependencies related to regulatory changes.

• Assist in audit preparedness and remediation efforts as necessary.

• Investigate regulatory-related issues and/or client compliance concerns, developing root cause analyses when needed.

• Improve regulatory change management processes, tools, and governance frameworks.

• Promote standardization and efficiency in tracking and implementing regulatory changes.

• Suggest automation or workflow enhancements where applicable.

• Support client or government-led audits as a regulatory compliance specialist through:

• Research and analysis.

• Documentation and public speaking.

• Workflow and Judi navigator.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Public Policy, Business, or a related field.

• Over 3 years of relevant experience in healthcare, government programs, compliance, or regulatory analysis.

• Comprehensive understanding of Medicare regulatory requirements and related product and/or operational workflows.

• Demonstrated ability to interpret complex regulatory language and convey its business implications.

• Proficient in MS Office applications.

• Excel: skilled in creating and maintaining pivot tables, forms, and formulas (e.g., vlookup, true, if, left, etc.).

• PowerPoint: capable of creating and updating accurate slide decks for Government Programs functions.

• Word: experienced in supporting policies, procedures, and job aid change management.

• Ability to manage multiple complex projects concurrently.

• Exceptional analytical, organizational, and project management abilities.

• Strong attention to detail and a commitment to delivering high-quality work products.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional growth and development.

• Supportive work environment with a focus on team collaboration.

• Flexible work arrangements to promote work-life balance.