Compliance Analyst

Regulatory Performance Analyst

Location: Must reside in PA, NJ, or DE (Tri-State Area)

Work Arrangement: Hybrid

• Work From Home: Mondays & Fridays
• In Office: Tuesdays, Wednesdays, Thursdays

Contract Details:

• Duration: 6 months
• Target Start Date: January 19
• Potential for Permanent Conversion

About the Role

As a Regulatory Compliance Analyst, you will play a key role in ensuring compliance across operational performance areas such as billing, enrollment, and claims. You will research and interpret state and federal regulations, including the Affordable Care Act, and provide actionable insights to guide business operations.

We are seeking a highly independent professional with strong analytical and problem-solving skills. A legal background is a significant advantage.

Key Responsibilities

• Regulatory Analysis: Interpret and analyze federal and state regulatory requirements. Provide clear guidance to operational teams and ensure compliance with new laws and regulations.
• Corrective Action Plan (CAP) Tracking: Use compliance tracking tools to document CAPs, develop remediation plans, and maintain updates on disclosed issues.
• Operational Collaboration: Partner with business units to address compliance gaps, analyze root causes, and ensure proper documentation of updated processes in policies and procedures.
• Proactive Monitoring: Identify trends, monitor compliance risks, escalate issues, and drive timely resolution.

Qualifications

• Bachelor’s degree or equivalent experience.
• Minimum 3 years in managed care, healthcare, or a related field.
• Experience in compliance and familiarity with health insurance operations and regulations (especially ACA).
• JD or legal research experience is highly advantageous.
• Strong organizational, verbal, and written communication skills.
• Proficiency in Microsoft Office (Outlook, Teams, Word, Excel) and familiarity with Citrix.
• Ability to work independently in a fast-paced environment and adapt to new technology.