Regulatory Affairs Analyst
Job Summary
The Analyst, Regulatory Affairs coordinates Regulatory Affairs work within the Evidence of Coverage team. This role contributes to annual QHP filings and manages internal workgroups to ensure regulatory compliance. The position involves monitoring project deliverables, tracking state-specific requirements, and managing documentation processes.
Responsibilities
- Support annual QHP filings and negotiations
- Resolve low-risk state objections
- Coordinate internal working groups and project tracking
- Maintain regulatory documentation and compliance records
Required Skills
- Bachelor's degree or 4 years relevant experience
- 2+ years in health insurance/claims/regulatory affairs
- Strong attention to detail
- Proficiency in MS Office and Google Tools
Job Details
Responsibilities:
- Support annual QHP filings by ensuring the quality and timeliness of annual filing inputs through initial submission and regulator facing negotiation periods.
- Resolve low risk state objections.
- Project manages and implements the internal tracking and monitoring of Regulatory Affairs team deliverables related to our Legislative processes.
- Coordinate internal working groups by scheduling meetings, intaking requests and ensuring the appropriate people are in the room.
- Prepare agendas, track action items, and follow-ups to ensure timely completion.
- Maintain comprehensive documentation of regulatory objections, state‑specific requirements, and reasons for deviations from standard policy.
- Escalate issues or delays to leadership.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Requirements:
- A bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience.
- 2+ years of experience in health insurance customer service, claims, appeals, or Regulatory team.
- Strong attention to detail with the ability to manage complex documentation.
- Familiarity with health insurance operations.
- Experience with the individual market health insurance plans.
- Experience working with attorneys and internal stakeholders.
- Proficiency in MS Office and Google Tools.