This is a Fully Remote Job
About Our Client:
This organization operates within the healthcare sector, focusing on improving access and effectiveness of care through managed health programs. It addresses the complexity of healthcare regulations and service delivery by connecting individuals, families, and communities to necessary care, impacting health outcomes on a broad scale.
About the Opportunity:
The REGULATORY ANALYST role involves managing and analyzing Medicaid regulations and associated deliverables. This position serves as a critical liaison with state Medicaid regulators, ensuring compliance and clear communication. The role contributes by interpreting complex regulatory and contractual requirements to provide operational guidance, directly supporting regulatory adherence and health plan operations.
Responsibilities:
Serve as liaison with state Medicaid regulators, managing regulatory communications and audit deliverables
Research healthcare regulations using resources such as Washington Administrative Code and Federal Register
Identify and analyze laws affecting health plan operations including Medicare, Medicaid, and ACA
Review legislative bills for health plan impact
Draft summaries of regulatory updates for internal stakeholders
Respond to non-routine regulatory inquiries from internal teams
Coordinate cross-functional meetings for regulatory updates and track implementation
Collaborate with legal and regulatory teams to address potential issues
Conduct ad hoc research and disseminate guidance on regulatory requirements
Draft policies, procedures, and job aids related to regulatory operations
Requirements:
Bachelor’s degree in Healthcare, related field, or equivalent experience
Minimum of 5 years compliance and regulatory experience
Experience with licensure filings, corporate governance, and contract management preferred
Familiarity with Medicare or Medicaid industry preferred
Strong technical writing skills and ability to interpret complex regulations
Experience working with Washington Apple Health Medicaid managed care and state regulators preferred
Pay Range and Compensation Package:
$70,100.00 - $126,200.00 per year
Benefits & Perks:
Health insurance
401(k) retirement plan
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.