Senior ACA Compliance Analyst - Health Plan

Parkland Health; United States; Hybrid; USD 85,000 - 110,000; Full time

Job summary

Parkland Health seeks a Health Plan Compliance professional to manage policies, procedures, and guidelines, ensuring ACA/Marketplace compliance and regulatory alignment across the Health Plan.

The role requires strong communication, analytic skills, and knowledge of CMS, TDI, and 45 CFR guidance. Hybrid full-time, 8 a.m.–4 p.m., Monday–Friday, with opportunities to influence policy and reporting processes.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration or related field.
• Master’s degree in Healthcare Administration, Business Administration or related field is preferred.

Responsibilities

• Ensures work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements.
• Responsible for understanding and applying ACA/Marketplace regulations and requirements including 45 CFR Parts 153, 155, and 156, the Texas Insurance Code, TAC, and applicable CMS and Texas Department of Insurance (TDI) guidance.
• Prepares, coordinates, and tracks regulatory filings and submissions, including TDI form and rate filings (SERFF), QHP certification and recertification materials, and required CMS/Marketplace data submissions.
• Attends meetings hosted by regulatory agencies and tracks completion of compliance-related action items.
• Develop compliance committee agendas, presentations, and minutes.

Skills

Communication skills

Interpersonal skills

Analytical thinking

Problem solving

Time management

Technical proficiency

ACA knowledge

Education

Bachelor’s degree in Healthcare Administration or related field

Master’s degree preferred

Tools

Microsoft Office

SERFF

Job description

Parkland Health seeks a Health Plan Compliance professional to manage policies, procedures, and guidelines, ensuring ACA/Marketplace compliance and regulatory alignment across the Health Plan.

The role requires strong communication, analytic skills, and knowledge of CMS, TDI, and 45 CFR guidance. Hybrid full-time, 8 a.m.–4 p.m., Monday–Friday, with opportunities to influence policy and reporting processes.