Senior Associate, Government Programs Regulatory Compliance

Ankura; Lansing (MI); Remote; USD 90,000 - 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 Senior Associate will conduct regulatory research, analyze health plan data, documentation, policies, and operational processes, and develop findings, workpapers, reports, presentations, and other client deliverables.

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 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 to implement regulatory requirements.

Responsibilities

• Conduct regulatory research and analysis of federal and state requirements for Medicare Advantage, Medicaid managed care, and ACA programs.
• Interpret CMS guidance, contracts, and regulatory communications to evaluate impact on health plan operations.
• Review policies, procedures, and data to assess compliance with requirements.
• Communicate findings clearly to engagement leadership and project teams.
• Take ownership of defined workstreams and deliverables within established timelines.

Skills

Analytical skills

Critical thinking

Problem solving

Communication skills

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 Senior Associate will conduct regulatory research, analyze health plan data, documentation, policies, and operational processes, and develop findings, workpapers, reports, presentations, and other client deliverables.