Remote Senior Associate - Government Programs Compliance

Ankura; United States; Remote; USD 95,000 - 130,000; Full time

Job summary

Ankura is seeking a Senior Associate to support client engagements involving compliance, regulatory, and operational matters across Medicare Advantage, Medicaid managed care, and ACA programs. The role requires conducting regulatory research, analyzing health plan data and operational docs, and developing findings, workpapers, and client deliverables.

The Senior Associate will interpret CMS guidance and state contracts, assess impact on operations, and take ownership of project workstreams while

Qualifications

• Bachelor’s degree from an accredited college or university.
• Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field.
• Experience working with Medicare Advantage, Medicaid managed care, ACA programs, or other government-sponsored health care programs.
• Working knowledge of CMS guidance, state Medicaid contractual requirements, and operational processes used by health plans.
• Experience conducting regulatory research and translating complex requirements into practical operational considerations.
• Experience analyzing health plan data, policies, procedures, documentation, or operational processes.
• Strong analytical, critical-thinking, and problem-solving skills.
• Excellent written and verbal communication skills.

Responsibilities

• Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and ACA programs.
• Interpret CMS guidance, state Medicaid contracts, regulatory communications, and other requirements to evaluate their impact on health plan operations.
• Review health plan policies, procedures, reports, data, and operational documentation for compliance.
• Analyze regulatory and operational issues, identify gaps or risks, and communicate findings clearly to leadership.
• Develop clear, accurate workpapers, findings, reports, and client deliverables.
• Take ownership of defined project workstreams, coordinating activities and timelines.
• Collaborate with Project Managers to understand client concerns and develop effective work plans.
• Apply structured problem-solving to regulatory and operational questions.
• Provide timely project updates and findings to engagement leadership.
• Collaborate with colleagues and client stakeholders to build strong working relationships.
• Review and guide junior team members’ work as appropriate.
• Support high-quality client deliverables within deadlines.
• Contribute to practice development and internal knowledge sharing.
• Maintain confidentiality of client information.

Skills

Regulatory research

Health plan compliance

CMS guidance knowledge

Data analysis

Written communication

Project coordination

Client engagement

Education

Bachelor's degree

Tools

Excel

Word

PowerPoint

Job description

Ankura is seeking a Senior Associate to support client engagements involving compliance, regulatory, and operational matters across Medicare Advantage, Medicaid managed care, and ACA programs. The role requires conducting regulatory research, analyzing health plan data and operational docs, and developing findings, workpapers, and client deliverables.

The Senior Associate will interpret CMS guidance and state contracts, assess impact on operations, and take ownership of project workstreams while