Regulatory Operations Analyst

Job Summary

A company is looking for a Regulatory Operations Business Analyst III in the healthcare sector.

Key Responsibilities

• Oversees and prepares Qualified Health Plan templates and regulatory filing documents for high-risk states
• Audits QHP documents for compliance and accuracy, ensuring alignment with product intent
• Analyzes federal and state legislation, communicating impacts and leading the implementation of new regulations

Required Qualifications

• Bachelor's Degree in Business, Communications, Health Care, Political Science, or equivalent experience required
• 4+ years of business process or data analysis experience in health insurance, legal, compliance, or related area required
• Experience in commercial health insurance and/or behavioral health managed care preferred
• Experience in drafting and auditing filing documentation or QHP Templates preferred
• Knowledge of SERFF and/or HIOS systems preferred