Health Plan Compliance Analyst

Job Summary

Providing day-to-day compliance support for the level-funded line of business, the full-time remote Health Plan Compliance Analyst will monitor legislation, assess regulatory impacts, develop implementation plans, and act as a subject matter expert on compliance-related questions.

Key responsibilities

• Monitor state and federal legislation and summarize impacts on the level-funded line of business for senior leaders
• Develop and implement compliance policies and procedures while ensuring operational readiness
• Conduct risk-based oversight reviews and internal audits focused on claims processing and benefit administration

Required qualifications

• 2+ years of experience in a regulated industry, preferably healthcare or finance
• Demonstrated familiarity with regulatory compliance and health plan regulations
• Strong analytical skills with the ability to interpret complex regulatory requirements
• Experience in developing and implementing compliance policies and procedures
• Proven project management and organizational skills