Regulatory Analyst

VirtualVocations; Buffalo (NY); Remote; USD 60,000 - 85,000; Full time

Job summary

A leading company is seeking a Regulatory Analyst to work remotely, focusing on monitoring regulatory requirements, conducting audits, and ensuring compliance across the West region. The ideal candidate will have significant experience in managed care, stakeholder collaboration, and compliance documentation.

Qualifications

• 5+ years of experience in managed care.
• 1+ years of experience in standardizing processes, conducting audits.
• 1+ years of stakeholder collaboration experience.

Responsibilities

• Monitor and track new regulatory or payor-specific requirements.
• Conduct internal audits and assist in developing corrective action plans.
• Manage relationships with non-owned IPA groups and oversee NCQA accreditations.

Skills

Analytical skills

Reporting skills

Documentation skills

Education

High School Diploma / GED or higher

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

Create a job alert for this search