Senior Regulatory Specialist

Healthfirst

Senior Regulatory Specialist responsible for promoting compliance with regulatory requirements within Pharmacy and Dental departments. Monitor regulations, provide guidance, and support data analysis for compliance.

Posted 5/5/2026full-timeRemote • Connecticut, New Jersey, New York • 🇺🇸 United StatesSenior💰 $83,100 - $120,360 per yearWebsite

About the role

Key responsibilities & impact

Promote compliance with regulatory requirements within Healthfirst's Pharmacy and Dental departments
Monitor incoming regulations from various sources like CMS and DOH
Share regulatory guidance with the Pharmacy department
Act as a liaison between Pharmacy and Regulatory Affairs/Legal
Data analysis of pharmacy and medical claims data
Support maintenance of the Restricted Recipient Program (RRP)

Requirements

What you’ll need

High School Diploma or GED from an accredited institution
Working knowledge of CMS and state regulatory requirements
Bachelor's degree from an accredited institution (preferred)
Knowledge of regulations of Medicaid Services and the New York State Department of Health
Managed Care experience
Pharmacy experience

Benefits

Comp & perks

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysispharmacy claims analysismedical claims analysis

Soft Skills

communicationliaison

Certifications

High School DiplomaGED