Regulatory Change & Compliance Program Admin I

Lifetime Benefit Solutions, Inc.; City of Utica (NY); On-site; USD 110,000 - 160,000; Full time

Job summary

Lifetime Benefit Solutions, Inc. is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate federal and state regulatory guidance and translate it into practical risk-based solutions.

This role partners with cross-functional teams to ensure regulatory readiness and effective governance. The Administrator plays a key role in monitoring regulatory changes, performing impact assessments, supporting audits, and advising business partners to ensure compliance with CMS, NY DOH,

Responsibilities

• Supports oversight and execution of regulatory compliance activities for assigned business areas, including implementation, monitoring, and documentation of regulatory requirements within the Enterprise compliance framework.
• Responsible for interpreting federal and state regulatory guidance and responding to compliance-related inquiries, providing clear, practical guidance to business partners regarding company products, services, and operations.
• Monitors changes in regulations both at the state and federal level which may affect the operations of the Health Plan and its subsidiaries.
• Collaborates with cross-functional teams including but not limited to Customer Service, Product and Operations, Marketing, Sales, Claims, Enrollment, Pharmacy, Quality Office, Utilization Management, and Advocacy to support regulatory compliance readiness and implementation, including gathering evidence of compliance.
• Participates in regulatory risk assessments by identifying potential compliance vulnerabilities, assisting with root cause analysis, and supporting development of corrective actions and remediation plans.
• Collaborates with assigned internal business areas to support adherence to regulatory compliance key performance indicators (KPIs) and related reporting and remediation when metrics are not met.
• Contributes to and supports the development of compliance communication tools, training and monitoring activities to promote awareness and understanding of regulatory requirements.
• Attends business and project meetings to proactively identify compliance considerations and mitigate regulatory risk.

Job description

Lifetime Benefit Solutions, Inc. is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate federal and state regulatory guidance and translate it into practical risk-based solutions.

This role partners with cross-functional teams to ensure regulatory readiness and effective governance. The Administrator plays a key role in monitoring regulatory changes, performing impact assessments, supporting audits, and advising business partners to ensure compliance with CMS, NY DOH,