Regulatory Compliance Analyst III – Government Programs, Medicare/Medicaid

Job Description: • Monitor and analyze federal and state laws and guidance impacting CareCentrix’s government programs • Provide cross-functional guidance in developing policies, procedures, and operational changes • Coordinate and support compliance audits • Assist with onboarding new government program customers • Drive continuous improvement initiatives • Conduct internal audits to assess compliance effectiveness • Design and deliver training programs Requirements: • Bachelor’s degree preferred or a minimum of 5 years’ experience in a managed care setting • 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