Analyst III – Regulatory Compliance – Government Programs
CareCentrix
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $75,000 - $89,000 per year
About the role
- Monitor and analyze federal and state laws and guidance impacting CareCentrix’s government programs (e.g., Medicare Advantage and Managed Medicaid) and communicate updates clearly.
- Provide cross-functional guidance in developing policies, procedures, and operational changes to ensure compliance with legal requirements.
- Coordinate and support compliance audits, including Medicare Part C program audits and managed Medicaid audits.
- Assist with onboarding new government program customers and ensure compliance requirements are integrated into processes.
- Drive continuous improvement initiatives to enhance compliance tracking, trending, and reporting tools.
- Conduct internal audits to assess compliance effectiveness and identify opportunities for improvement.
- Design and deliver training programs that promote clear understanding of compliance requirements.
Requirements
- Bachelor’s degree preferred or a minimum of 5 years’ experience in a managed care setting.
- Master’s degree, JD or paralegal experience preferred.
- Minimum 5 years’ experience working with managed care laws impacting Medicare Advantage and/or managed Medicaid health insurers and delegated entities.
- Demonstrated experience in regulatory affairs and/or operations of HMOs, Managed Care Organization’s and/or government program health plans.
- Proficiency in MS Office: Excel, SharePoint, PowerPoint, OneNote.
- Advanced legal research skills, advanced organizational and analytical skills, excellent written and verbal communication/presentation skills and attention to detail.
- Strong knowledge of Medicare Advantage guidelines and state regulations applicable to Managed Medicaid.
Benefits
- Medical
- Dental
- Vision
- 401(k) with company match
- HSA employer contributions
- Dependent Care FSA employer contribution
- Paid Time Off
- Personal/Sick Time
- Paid Parental Leave
- corporate bonus incentive
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
regulatory affairscompliance auditslegal researchpolicy developmentoperational changescompliance trackingcompliance reportinginternal auditstraining program designmanaged care laws
Soft skills
analytical skillsorganizational skillscommunication skillspresentation skillsattention to detail
Certifications
Bachelor's degreeMaster's degreeJDparalegal experience