Health Plan Compliance Analyst: Regulatory & Risk

Gravie; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

Gravie is seeking a Compliance Analyst to support its level-funded (Comfort) line of business, focusing on ACA, HIPAA, MHPAEA and plan documents. The role involves monitoring changes, advising leadership, and driving implementation of compliance plans.

You will collaborate across Compliance, Privacy and Audit to ensure regulatory readiness, review SBCs, and help embed strong internal controls. A strong regulatory background and clear communication are essential.

Qualifications

• 2+ years of experience in a highly regulated industry such as healthcare or finance.
• Experience in compliance or related field.
• Strong analytical skills and ability to interpret complex regulatory requirements.
• Excellent written and verbal communication skills with ability to translate legal requirements into actionable guidance.
• Experience developing and implementing policies and procedures.
• Proven ability to work independently and prioritize multiple competing demands.
• Strong project management and organizational skills.

Responsibilities

• Monitor state and federal legislation under ACA, HIPAA, MHPAEA and related laws and summarize impact for senior leaders.
• Assess impact and develop implementation plans with the business for operational readiness.
• Act as compliance SME for partners on complex regulatory questions and provide timely guidance.
• Represent Corporate Compliance in cross-functional groups and embed compliance into new processes.
• Review ERISA and non-ERISA SBCs and member communications for federal and state compliance.
• Support state-based requirements including licensing and appointments, and Secretary of State certifications.
• Work with Privacy and Audit to develop, refine and enforce policies and controls for audit readiness.
• Design and document risk-based oversight reviews and internal audits focused on claims and enrollment.
• Analyze compliance data, report trends, and track corrective actions to closure.

Skills

Regulatory compliance

Policy development

Analytical thinking

Written communication

Prioritization

Project management

Independent work

Job description

Gravie is seeking a Compliance Analyst to support its level-funded (Comfort) line of business, focusing on ACA, HIPAA, MHPAEA and plan documents. The role involves monitoring changes, advising leadership, and driving implementation of compliance plans.

You will collaborate across Compliance, Privacy and Audit to ensure regulatory readiness, review SBCs, and help embed strong internal controls. A strong regulatory background and clear communication are essential.