Regulatory Analyst

VirtualVocations; Oakland (CA); Remote; USD 60,000 - 90,000; Full time

Job summary

A leading company is seeking a National Remote Regulatory Analyst to ensure compliance with regulatory requirements. This role involves monitoring regulatory changes, conducting audits, and managing IPA relationships. Candidates should have extensive experience in managed care and strong analytical skills.

Qualifications

• 5+ years of experience in managed care.
• 1+ years in standardizing processes and conducting audits.
• Experience in analytics, reporting, and documentation skills.

Responsibilities

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

Skills

Stakeholder collaboration

Analytical skills

Compliance monitoring

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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