Regulatory Operations Analyst – III

This is a fully remote position, open to applicants in Florida, +3 more states.

📋 Description

• Review, analyze, and summarize proposed and enacted legislation as well as regulatory updates.

• Conduct research on state and federal policies and monitor changes in regulations.

• Identify, evaluate, and interpret legislation related to assigned products, communicating findings to relevant departments.

• Perform independent risk assessments, including evaluating impacts on business applications and downstream outputs.

• Maintain databases and reference materials concerning legislative and regulatory matters and compliance.

• Analyze and disseminate updates and changes related to Commercial/ACA regulations.

• Lead the interpretation of regulations and provide guidance to the business as new regulations emerge.

• Address potential legal, contractual, and regulatory concerns while determining suitable solutions.

• Collaborate across various functional areas to manage large projects and initiatives.

• Represent the department in interdepartmental meetings and escalate issues to management as necessary.

• Support and manage relationships between health plans and regulatory agencies at both state and federal levels.

• Draft responses to external inquiries for information related to regulatory filings and policy requirements.

• Understand regulations and business needs across various states and federal commercial health insurance standards.

• Lead the drafting of responses to regulators concerning commercial/ACA filings.

• Support the establishment of regulatory frameworks for new state entries and product developments.

• Collaborate with the Legal department on Certificate of Authority application materials and submissions for new states and products.

• Assist in developing and mentoring junior staff and updating training materials.

• Carry out additional duties as assigned while adhering to policies and standards.

⛳️ Requirements

• Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law, or equivalent experience is required.

• A minimum of 4 years of experience in health insurance, legal, compliance, or a related field is required.

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship, now or in the future.

• Preferred experience in reviewing regulations and providing interpretations using audience-appropriate terminology.

• Experience in commercial health insurance and/or behavioral health managed care is preferred.

• A Master's Degree in a related field or a Juris Doctorate may be considered in lieu of experience preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work options including remote, hybrid, field, or office schedules.

• Additional incentives may be included in the overall compensation package.