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.

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.
• Cook up 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.
• Other duties as assigned.

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.

Pay, Benefits & Schedule

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.