Program/Policy Analyst Sr, Covered California - Regulatory Affairs

CalOptima Health Partnership; Orange (CA); Remote; USD 78,000 - 125,000; Full time

Benefits offered by this job

Full Telework

Comprehensive benefits package

CalPERS pension program

Job summary

CalOptima Health is seeking a Program/Policy Analyst Sr in Regulatory Affairs. The role focuses on coordinating relationships with state regulators, supporting policy infrastructure, and handling reporting to Covered California, DMHC and CMS.

The position offers full telework with California residency, and requires collaboration with executives and external agencies to advance equitable health policy. You will analyze regulatory changes, manage complex projects, and contribute to a responsive

Qualifications

• Bachelor’s degree in health services administration, public health, public policy or related field PLUS 4 years of experience in government, public or government affairs role in health care compliance with direct responsibility for Covered California compliance.
• An equivalent combination of education and experience may also be qualifying.

Responsibilities

• Coordinate and maintain CalOptima Health’s relationships with regulatory agencies.
• Support, enhance and strengthen policy infrastructure, platform and strategy at the state level.
• Coordinate, track and file regular and ad-hoc reporting to Covered California, DMHC and CMS.
• Lead analysis of regulatory changes and their impact on CalOptima Health’s Covered California program.
• Interact with executives, management, legal counsel and regulators as needed.

Skills

Relationship building

Independent work

Clear communication

Evening/weekend availability

Project management

Multi-project handling

Team leadership

Office software

Education

Bachelor’s degree in health services administration/public health/public policy

4 years in government/public health compliance or government affairs

Master’s degree

Tools

Microsoft Office (Word/Outlook/Excel/PowerPoint)

Job description

Join Us in this Amazing Opportunity

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

The Team You’ll Join

More About the Opportunity

We are hoping you will join us as a Program/Policy Analyst Sr, Covered California - Regulatory Affairsand help shape the future of healthcare where you’ll be an integral part of our Office of Complianceteam, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to beFull Telework.

• If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Program/Policy Analyst Sr (Covered California Regulatory Affairs) will coordinate and maintain CalOptima Health’s relationships with regulatory agencies. You will be responsible for supporting, enhancing and strengthening CalOptima Health’s policy infrastructure, platform and strategy at the state level, including but not limited to contract compliance, statutory and regulatory obligations with Covered California, the Department of Managed Health Care (DMHC) and the Centers for Medicare and Medicaid Services (CMS). You will be responsible for leading the coordination, tracking and filing of regular and ad-hoc reporting to Covered California, DMHC and CMS. Additionally, you will be responsible for completing a variety of detailed analyses, including the impact of regulatory changes from Covered California, the State of California and the federal government on CalOptima Health. You will lead, support and assist with projects and other assignments related to the Regulatory Affairs department. You will interact with CalOptima Health’s executives and departmental management, legal counsel and state and federal regulatory agencies as needed. Together, we are building a stronger, more equitable health system.

Your Contributions To the Team:

• 90% - Program Support
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Leads and supports the coordination, tracking and filing of regular and ad-hoc reporting to Covered California, DMHC and CMS.
  • Completes assigned Requests for Guidance (RFG) with varying difficulty by analyzing state and federal resources and provides a summary analysis to the requesting department.
  • Supports maintaining CalOptima Health’s daily relationship with Covered California and DMHC for CalOptima Health’s Covered California program.
  • Researches, analyzes and makes recommendations regarding the regulatory implications of certain major initiatives for CalOptima Health’s Covered California program, e.g., integration of new benefits and populations.
  • Researches and analyzes federal, state and local health policy issues that may impact CalOptima Health’s Covered California program.
  • Monitors, disseminates and tracks regulatory communications from Covered California and DMHC impacting CalOptima Health’s Covered California program.
  • Collaborates with other CalOptima Health departments to respond to inquiries, member issues and other ad-hoc requests.
  • Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impacts to CalOptima Health’s Covered California program.
  • Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.
• 10% - Completes other projects and duties as assigned.

Do You Have What the Role Requires?

• Bachelor’s degree in health services administration, public health, public policy or related field PLUS 4 years of experience in government, public or government affairs role in health care compliance with direct responsibility for Covered California compliance required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

You’ll Stand Out More If You Possess the Following:

• Master’s degree.
• Experience working with regulatory agencies in California.

What the Regulatory Agencies Need You to Possess?

• N/A

Your Knowledge & Abilities to Bring to this Role:

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Your Physical Requirements (With or Without Accommodations):

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Ways We Are Here For You

• You’ll enjoy competitive compensation for this role.
  • Our current hiring range is: Pay Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947).
  • The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
• This position is approved for Full Telework (If the position is Telework, it is eligible in California only)
• A comprehensive benefits package
• CalPERS pension program and additional retirement packages.
• Additional benefits and perks including:
  • A generous PTO program
  • A quality work life balance
  • Various wellness programs
  • Tuition Reimbursement
  • Professional development opportunities
  • Career development opportunities
  • Flexible scheduling
  • And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.

Our Work Environment:

If located at the 500, 505 Building or a remote work location:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• There are no harmful environmental conditions present for this job.
• The noise level in this work environment is usually moderate.

If located at PACE:

• Work is typically indoors in a clinical setting serving the frail and elderly.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

If located in the Community:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• Employee will occasionally work outdoors in varied temperatures.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

Why Join Us?

We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.

What's Your Next Step?

All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 6, 2026 at9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.

Our Commitment to You

Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview.

If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.

We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.

CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at [phone] if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.

Advertised: 23 Sep 2026

Applications close: 23 Oct 2026