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Regulatory Performance Analyst | Contract-To-Hire | Philadelphia, PA 40% Remote

Alpha Business Solutions

Philadelphia, PA(remote)

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JOB DETAILS
SALARY
SKILLS
Analysis Skills, Billing, Citrix Product Family, Communication Skills, Consulting, Corrective Action, Dental Insurance, Documentation, Federal Laws and Regulations, Finance, Financial Audit, Health Insurance, Insurance Regulations, Interpret Regulations, Legal, Legal Research, Maintain Compliance, Managed Care, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Organizational Skills, Performance Analysis, Presentation/Verbal Skills, Problem Solving Skills, Regulations, Regulatory Compliance, Regulatory Requirements, Risk Management, Root Cause Analysis, State Laws and Regulations, Trend Analysis, Vision Plan, Writing Skills
LOCATION
Philadelphia, PA
POSTED
7 days ago
Title: Regulatory Compliance Analyst
Job Type: Contract-To-Hire
Pay rate: $45/HR W2 (negotiable)
 Location: Philadelphia, PA  40% Remote

Job Category: Finance, Accounting, Audit, & Compliance
 
As a Regulatory Compliance Analyst, you will identify, document, and track the resolution of compliance issues in operational performance areas (e.g. billing, enrollment, claims) of a major health insurance issuer. You will also research state and federal laws relating to the Affordable Care Act, providing key insights to guide our operations.
We are looking for a highly independent professional with a knack for research, analysis, and adaptive problem solving. A legal background is a significant plus for success in this position.
 
Key Responsibilities:
  • Regulatory Analysis: Interpret and analyze federal and state regulatory requirements, providing clear regulatory guidance to operational teams and ensuring effective implementation of new laws and regulations.
  • Corrective Action Plan (CAP) Tracking: Leverage compliance tracking software to document CAPs and develop remediation plans, ensuring alignment with regulatory standards. Maintain regular updates on disclosed issues.
  • Operational Collaboration: Work closely with business areas to address compliance gaps, ensuring that they are taking appropriate ownership of any CAPs under their purview, thoroughly analyzing root cause, providing evidence remediation, and documenting updated processes in policies and procedures.
  • Proactive Monitoring: Analyze indicators, identify trends, and monitor potential compliance risks, escalating issues and driving resolution as needed.
 
Qualifications:
  • Education & Experience: Bachelor’s degree or equivalent work experience, with a minimum of 3 years in managed care, health care, or related field.
  • Preferred Background: Experience in compliance and familiarity with health insurance operations and regulations (especially the Affordable Care Act). A JD or legal research experience are both highly advantageous.
  • Skills: Exceptional organizational, verbal, and written communication skills; proficiency in Microsoft Office (especially Outlook, Teams, Word, Excel); familiarity with Citrix; adaptability to new technology, and the ability to work independently in a fast-paced environment are all musts.
 
Please apply with your interest. You may also reach out to me at

abaranwal@alphambe.com


 
Thank you,
Ashu
 
We provide a comprehensive package which includes.
Benefits
  • Medical for full time employees
  • Dental, and Vision Insurance
  • Life Insurance, Short-Term Disability, Long-Term Disability, etc.
 

About the Company

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Alpha Business Solutions

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