Regulatory Analyst

VirtualVocations; Salinas (CA); Remote; USD 70,000 - 100,000; Full time

Job summary

A leading company is seeking a Regulatory Analyst to join their team remotely across the West region. The role involves monitoring regulatory requirements, conducting audits, and managing compliance efforts. Candidates should have a strong background in managed care, analytics, and stakeholder collaboration.

Qualifications

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

Responsibilities

• Monitor and track new regulatory requirements.
• Conduct internal audits and assist in developing corrective action plans.
• Manage relationships with non-owned IPA groups for compliance.

Skills

Compliance Monitoring

Stakeholder Collaboration

Analytics

Process Standardization

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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Regulatory Analyst • Salinas, California, United States