Regulatory Filing Analyst, Senior

Blue Shield of California; California; Hybrid; USD 91,000 - 136,000; Full time

Job summary

Blue Shield of California seeks a Senior Regulatory Filings Analyst to ensure accurate, timely submissions to federal and state regulators. You will liaise with regulators and guide the business on state and federal filing requirements, supporting multiple lines including Commercial, Medi‑Cal and Medicare Advantage.

You will lead in a hybrid work model, coordinating with cross‑functional teams and ensuring audit readiness while meeting tight deadlines and regulatory expectations.

Qualifications

• Bachelor’s degree or 4 years of equivalent experience in lieu of a degree.
• 5 years of regulatory affairs or health insurance experience.
• Knowledge of the Knox Keene Act.
• Excellent written and verbal communication and organizational skills.
• Strong analytical and problem‑solving abilities.
• Proficient with Microsoft Office and data tracking tools.
• Experience with DMHC Web Portal, SERFF and HIOS is desirable.

Responsibilities

• Prepare and submit regulatory filings with focus on QHP and rate filings.
• Serve as subject matter expert on filing requirements and timelines.
• Draft descriptions of filings for regulatory proposals and approvals.
• Coordinate mirror filings with Government Programs team.
• Collaborate with cross‑functional teams for monthly/quarterly/annual reports.
• Maintain filing trackers and status communications with partners.
• Ensure audit readiness and regulatory transparency through documentation.
• Provide research support for internal audits and compliance matters.
• Support multiple deadlines under limited supervision.

Skills

Regulatory affairs

Attention to detail

Written & verbal communication

Analytical thinking

Project management

Education

Bachelor’s degree or High School Diploma/GED with 4 years' experience

5 years of relevant regulatory experience (health insurance)

Tools

Microsoft Office (Word, Excel, Outlook)

Data tracking tools

DMHC Web Portal

SERFF

HIOS

Job description

Job Description

Your Role

The Regulatory Filings team is responsible for supporting the Commercial, Medi-Cal and Medicare Advantage lines of business. The Regulatory Filing Analyst, Senior, will report to the Regulatory Filings Manager of the Health Law Group within the Law Department. In this role, you will ensure accurate, timely, and compliant submission of filings and reports to federal and state regulatory agencies, acting as a liaison between the organization and regulators, and will provide regulatory guidance to the business on state and federal requirements.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

• Prepare and submit various types of regulatory filings with the primary focus on the annual Qualified Health Plan (QHP) and off-exchange product and rate filings
• Serve as subject matter expert on assigned regulatory filing requirements, providing guidance to internal business partners on filing content, timing, and compliance considerations.
• Work collaboratively with internal business parters to write and edit the description of packaged filings for accurate representation of the company’s proposals to the regulatory agencies for approval.
• Partner with the Government Programs team in submission of mirror filings to regulatory agencies.
• Actively participate as a Regulatory Filings stakeholder in projects and activities related company initiatives that impact various business units within the company (i.e. Legal, Mandates, Contracts, Network, Product Development Team, HCQA, Actuary, Global Business Services).
• Work independently under limited supervision with responsibility for meeting multiple filing deadlines set by internal business partners and the regulatory agencies.
• Collaborate with cross-functional teams to gather, evaluate, and validate materials and submit reports i ncluding filings required on a monthly, quarterly, or annual basis to regulatory agencies.
• Maintain filing trackers; monitor and communicate status of filings to internal business partners
• Maintain filing documentation and supporting records to ensure audit readiness and regulatory transparency.
• Provide research support to various internal business partners (i.e. Compliance, Internal Audits, Litigation & Subpoena, Appeals & Grievance) for internal and regulatory audits, enforcement matters and regulatory complaints, as requested.

Qualifications

Your Knowledge and Experience

• Requires bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 5 years of prior relevant experience (i.e. regulatory affairs or health insurance)
• Must have knowledge of the Knox Keene Act.
• Must be detail oriented, have effective written and verbal communication skills, organizational skills, and the capacity to manage competing priorities.
• Must have strong analytical and problem-solving skills.
• Must be Proficient in Microsoft Office (Word, Excel, and Outlook).
• Requires experience using data tracking tools or similar database management technology.
• Proficiency in the following regulatory filing systems is desired:
• Department of Managed Health Care (DMHC) Web Portal
• System for Electronic Rates & Forms Filing (SERFF)
• Health Insurance Oversight System (HIOS)

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Us

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

JOB INFO

Job Identification : 20261956

Job Category : Legal and Compliance

Posting Date : 2026-10-22T23:49:50+00:00

Job Schedule : Full time

Locations :

Oakland, CA, United States

CA, United States

Pay Range for California : $90860.00 to $136290.00

Pay Range for Bay Area : $102424.00 to $153636.00

Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Role can be filled by a candidate requiring sponsorship : No