Regulatory Compliance Analyst

Evolent Health; United States; Remote; USD 60,000 - 70,000; Full time

Job summary

Join a forward-thinking company as a Regulatory Compliance Analyst, where your expertise will help ensure adherence to vital regulations in the health insurance industry. In this role, you will conduct thorough research and analysis of state and federal laws, monitor emerging regulatory trends, and provide recommendations to align business processes. This position offers a collaborative environment with opportunities for professional growth, allowing you to make meaningful contributions to the organization's integrity and compliance efforts. If you're passionate about improving health outcomes and thrive in a team-oriented setting, this is the perfect opportunity for you.

Benefits

Comprehensive health insurance

Flexible work/life balance

Autonomy in work

Diversity and inclusion initiatives

Qualifications

• 3+ years in health insurance and CMS regulatory compliance required.
• Strong analytical and problem-solving skills are essential.

Responsibilities

• Conduct research on state laws impacting health insurance.
• Monitor legislation and provide compliance recommendations.
• Draft summaries of new laws and regulatory guidance.

Skills

Analytical Skills

Problem Solving

Communication Skills

Ethics

Education

Bachelor’s Degree

Tools

Compliance Tracking Systems

Job description

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Regulatory Compliance Analyst

The Regulatory Compliance Analyst position works to ensure that Evolent’s day-to-day operations comply with local, state, and federal laws, regulations, and other guidance. Responsible for research and analysis of federal and state laws and regulations as well as pending legislation and rules relevant to health insurance, Medicare, and Medicaid to support strategy and business and client operations. Provides documentation and recommendations on critical business operations and issues from state and federal regulations. This position reports to the Director, Compliance.

Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Regulatory Compliance Analyst to join our team.

As a Regulatory Compliance Analyst, you’ll play a crucial role in ensuring the organization adheres to industry regulations and standards. Joining our team offers the opportunity to have a significant impact on business integrity, providing both professional growth and job satisfaction through meaningful contributions and a collaborative work environment.

Collaboration Opportunities:

In this role, you can expect to interact with many internal operational areas to ensure compliance with regulatory standards. The hiring manager emphasizes a team-oriented approach, encourages frequent collaboration with the compliance team and offers opportunities to contribute to strategic compliance initiatives across the organization.

What You Will Be Doing:

• Conduct research and analysis of new state laws and regulations impacting the health insurance industry including those related to Medicare, Medicaid/Managed Care, Commercial and ACA Marketplace
• Monitor newly enacted legislation, regulations, and sub-regulatory guidance to determine impact on Evolent and delegated entities
• Monitor, analyze, and compile information on emerging regulatory trends and government priorities, providing insights to support strategic business planning and compliance efforts
• Evaluate regulatory requirements and provide recommendations to align business processes, ensure compliance and minimize risk
• Draft and distribute summaries of newly enacted laws and regulatory guidance to inform the business of updated compliance requirements
• Serve as a liaison between implementation and compliance teams to ensure accurate communication and alignment on new business initiatives
• Maintain systems, trackers, and databases housing compliance materials including policies and procedures, legislation, regulatory and sub-regulatory guidance, etc., and provide training to users as needed
• Assist with reviewing and maintaining regulatory compliance communications strategies
• Develop, review, and edit materials such as policies and procedures, compliance newsletters, and related workflows
• Support and coordinate day-to-day compliance activities and projects as needed

Qualifications- Required

• Bachelor’s Degree
• Minimum of 3+ years of experience in the health insurance industry and CMS regulatory compliance.
• Experience tracking state and federal legislative and regulatory activity.
• Understanding of the health care business and health care delivery process.
• Strong sense of ethics
• Demonstrated analytical, problem solving, and documentation skills strongly preferred.
• Ability to effectively communicate (both orally and in writing) and collaborate with all levels of workforce, regulatory officials, and clients preferred.
• Ability to work collaboratively with all levels of the global workforce and understanding business requirements relative to legislative and regulatory policy preferred.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

If you need reasonable accommodation to access the information provided on this website, please contact [e-mail] for further assistance.

The expected base salary/wage range for this position is $60,000-$70,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.