Health Care Regulatory Compliance Program Admin I

Excellus BCBS; City of Utica (NY); Remote; USD 65,000 - 118,000; Full time

Job summary

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate federal and state guidance and translate it into practical risk-based compliance solutions across the enterprise. The role partners with multiple business areas to support an effective regulatory program.

The position emphasizes monitoring regulatory change, supporting audits, and advising partners to ensure compliance with CMS, NY DOH, DFS, DOL, OIG, and OMIG requirements.

Qualifications

• Seven+ years experience in health insurance or related area or four+ years with a related bachelor’s degree.
• Knowledge of federal and state health care regulatory frameworks (Medicare/Medicaid/Commercial).
• Ability to translate regulatory guidance into business-ready recommendations.
• Strong communication and project coordination skills.

Responsibilities

• Supports oversight and execution of regulatory compliance activities across assigned areas.
• Interprets federal and state guidance and provides practical guidance to business partners.
• Monitors regulatory changes and assesses impact on programs, procedures, and systems.

Skills

Regulatory compliance

Regulatory research

Stakeholder engagement

Risk assessment

Education

Bachelor's degree

Tools

MS Office

Enterprise systems

Job description

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate federal and state guidance and translate it into practical risk-based compliance solutions across the enterprise. The role partners with multiple business areas to support an effective regulatory program.

The position emphasizes monitoring regulatory change, supporting audits, and advising partners to ensure compliance with CMS, NY DOH, DFS, DOL, OIG, and OMIG requirements.