Analyst, Regulatory Affairs
About the role
The Analyst, Regulatory Affairs is a contributor and navigator who coordinates Regulatory Affairs work within the Evidence of Coverage team. You will coordinate large-scale, workgroups and contributes to annual QHP filings. You will support the Regulatory Affairs Evidence of Coverage team by serving as a resource on Oscar processes and identify risks to escalate in partnership with their manager. You will report into the Regulatory Manager.
Work Location
This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.
Pay
The base pay for this role is: $28.30 - $37.15 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities
- Support annual QHP filings by ensuring the quality and timeliness of annual filing inputs through initial submission and regulator facing negotiation periods
- Resolve low risk state objections
- Project manages and implements the internal tracking and monitoring of Regulatory Affairs team deliverables related to our Legislative processes
- Cookordinate internal working groups by scheduling meetings, intaking requests and ensuring the appropriate people are in the room
- Prepare agendas, track action items, and follow-ups to ensure timely completion
- Maintain comprehensive documentation of regulatory objections, state-specific requirements, and reasons for deviations from standard policy
- Escalate issues or delays to leadership
- Compliance with all applicable laws and regulations
Requirements
- A bachelor's degree in a legal, healthcare-related or humanities field, or 4 years commensurate experience
- 2+ years of experience in health insurance customer service, claims, appeals, or Regulatory team
- Strong attention to detail with the ability to manage complex documentation
Bonus Points
- Familiarity with health insurance operations
- Experience with the individual market health insurance plans
- Experience working with attorneys and internal stakeholders
- Proficiency in MS Office and Google Tools