Regulatory Performance Analyst

Immediate need for a talented Regulatory Performance Analyst. This is a 05+months contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-77066
 
Pay Range: $44 - $46/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Regulatory Analysis: Interpret and analyze federal and state regulatory requirements, providing clear regulatory guidance to operational teams and ensuring effective implementation of new laws and regulations.
• Corrective Action Plan (CAP) Tracking: Leverage compliance tracking software to document CAPs and develop remediation plans, ensuring alignment with regulatory standards. Maintain regular updates on disclosed issues.
• Operational Collaboration: Work closely with business areas to address compliance gaps, ensuring that they are taking appropriate ownership of any CAPs under their purview, thoroughly analyzing root cause, providing evidence remediation, and documenting updated processes in policies and procedures.
• Proactive Monitoring: Analyze indicators, identify trends, and monitor potential compliance risks, escalating issues and driving resolution as needed.

Key Requirements and Technology Experience:

• Key Skills:legal background is a significant plus.
• AFFORDABLE CARE ACT.
• Experience in compliance and familiarity with health insurance.
• Bachelor’s degree or equivalent work experience, with a minimum of 3 years in managed care, health care, or related field.
• Experience in compliance and familiarity with health insurance operations and regulations (especially the Affordable Care Act).
• A JD or legal research experience are both highly advantageous.
• Exceptional organizational, verbal, and written communication skills; proficiency in Microsoft Office (especially Outlook, Teams, Word, Excel); familiarity with Citrix; adaptability to new technology, and the ability to work independently in a fast-paced environment are all musts.

Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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