Regulatory Analyst

A company is looking for a Regulatory Analyst - National Remote. Key Responsibilities: Monitor and track new regulatory or payor-specific requirements and support implementation across the West region Conduct internal audits and assist in developing corrective action plans for compliance gaps Provide ongoing support and manage relationships with non-owned IPA groups and oversee NCQA accreditations Required Qualifications: High School Diploma/GED (or higher) 5+ years of experience in managed care 1+ years of experience in standardizing processes, conducting audits, and implementing corrective actions 1+ years of experience in stakeholder collaboration and maintaining adherence to performance metrics 1+ years of experience in analytics, reporting, and documentation skills for compliance monitoring

Jun 3, 2025 - 21:50
 0
Regulatory Analyst
A company is looking for a Regulatory Analyst - National Remote. Key Responsibilities: Monitor and track new regulatory or payor-specific requirements and support implementation across the West region Conduct internal audits and assist in developing corrective action plans for compliance gaps Provide ongoing support and manage relationships with non-owned IPA groups and oversee NCQA accreditations Required Qualifications: High School Diploma/GED (or higher) 5+ years of experience in managed care 1+ years of experience in standardizing processes, conducting audits, and implementing corrective actions 1+ years of experience in stakeholder collaboration and maintaining adherence to performance metrics 1+ years of experience in analytics, reporting, and documentation skills for compliance monitoring