Remote Regulatory Compliance Program Administrator I

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

Benefits offered by this job

Remote work opportunities

Wellness program

Paid time off

Group health/dental insurance

Retirement plan

Job summary

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate regulatory guidance and translate it into practical compliance solutions across the enterprise. You will monitor changes, support audits, and advise business partners to ensure adherence to CMS, NY DOH, DFS, DOL, OIG, and OMIG requirements.

You will collaborate with cross-functional teams including Product, Operations, Marketing, Claims, Enrollment, and Quality to implement compliance readiness and

Qualifications

• Experience navigating health care regulatory frameworks and guidance.
• Ability to translate guidance into practical compliance actions.
• Strong analytical and communication skills for diverse audiences.

Responsibilities

• Support oversight of regulatory compliance activities across business areas.
• Interpret federal/state guidance and provide practical guidance to partners.
• Monitor regulatory changes affecting Medicare/Medicaid/commercial programs.
• Collaborate with cross-functional teams to ensure readiness and evidence.

Skills

Regulatory compliance

Healthcare experience

Risk assessment

Cross-functional collaboration

Regulatory change management

Audits & examinations

Privacy and data protection

Education

Bachelor's degree in related field

Professional certification (CPCO, CHC, CHPC)

Tools

Microsoft Office

Enterprise systems

Job description

Excellus BCBS is seeking an Enterprise Regulatory Compliance Program Administrator to evaluate regulatory guidance and translate it into practical compliance solutions across the enterprise. You will monitor changes, support audits, and advise business partners to ensure adherence to CMS, NY DOH, DFS, DOL, OIG, and OMIG requirements.

You will collaborate with cross-functional teams including Product, Operations, Marketing, Claims, Enrollment, and Quality to implement compliance readiness and