Regulatory Affairs Analyst
3 weeks ago
The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department. Team Members in this position ensure plan operations, processes, procedures, policies, etc. are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect. Experience interacting with regulatory agencies.
* Bachelor's degree from an accredited university required.
* Knowledge of and experience with state and Federal regulatory and other requirements and practices related to Covered California, Medicare and Medi-Cal (Medicaid), Title 19 (USC)/Title 29 (USC and CCR), Title 22 (CCR), Title 28 (CCR), Title 42 (USC and CFR), CA Welfare and Institutions Code, and CA Health and Safety Code.
*Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, and Access.
* Job Type: Full-time
Dental insurance
* Employee assistance program
* Flexible spending account
* Health savings account
* Relocation assistance
* Retirement plan
* Tuition reimbursement
* 8 hour shift
* Day shift
* Monday to Friday
Bachelor's (Required)
health care regulatory: Ability to Relocate:
* Relocate before starting work (Required)
Work Location: Hybrid remote in Rancho Cucamonga, CA 91730
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