Regulatory Compliance Program Admin I — Audit & Monitoring

Excellus BCBS; City of Binghamton (NY); Hybrid; USD 65,000 - 118,000; Full time

Job summary

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate evolving regulatory guidance and translate it into risk-based compliance solutions. You will partner with multiple business areas to administer the program and support audits, examinations, and regulatory filings.

This role emphasizes governance, change management, and evidence-based compliance across Medicare, Medicaid, and commercial programs.

Qualifications

• Experience in health care regulatory frameworks (federal/state).
• Ability to interpret and translate guidance into business-ready recommendations.
• Strong research, analytical and communication skills.

Responsibilities

• Supports oversight and execution of regulatory compliance activities across areas.
• Interprets guidance and provides practical guidance to partners.
• Monitors regulatory changes and assesses impact on programs and procedures.
• Collaborates with cross-functional teams to support preparedness and evidence gathering.
• Participates in risk assessments and supports remediation actions.
• Maintains KPI reporting and compliance communications.
• Assists in audits, regulatory filings, and responses.

Skills

Regulatory knowledge

Project coordination

Communication

Attention to detail

Analytical thinking

Cross-functional collaboration

Risk assessment

Education

Bachelor's degree in related area

Tools

Microsoft Office

Enterprise systems

Job description

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate evolving regulatory guidance and translate it into risk-based compliance solutions. You will partner with multiple business areas to administer the program and support audits, examinations, and regulatory filings.

This role emphasizes governance, change management, and evidence-based compliance across Medicare, Medicaid, and commercial programs.