Regulatory Analyst

VirtualVocations; Baton Rouge (LA); Remote; USD 50,000 - 75,000; Full time

Job summary

A leading company is seeking a Regulatory Analyst for a remote position focused on compliance and regulatory monitoring. This role involves tracking regulatory changes, conducting audits, and supporting collaborations with independent physician associations. Ideal candidates possess strong analytical skills and extensive experience in managed care to ensure adherence to compliance metrics.

Qualifications

• 5+ years of experience in managed care.
• 1+ years of experience in standardizing processes, conducting audits.
• 1+ years of experience in analytics and compliance monitoring.

Responsibilities

• Monitor and track regulatory requirements across the West region.
• Conduct internal audits and develop corrective action plans.
• Manage relationships with non-owned IPA groups and oversee accreditations.

Skills

Auditing

Stakeholder Collaboration

Analytics

Education

High School Diploma / GED

Job description

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

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