Appeals & Grievances Regulatory Analyst
Medica•St. Louis, MO
•$78,700 - $118,020•Hybrid
About The Position
Oversees and implements activities to support Medica's business units and to ensure adherence with federal, state and local regulations and/or contractual requirements. Works with internal teams and/or Regulatory agencies and vendors as needed to ensure policies and procedures are compliant, requirements are communicated, and proper auditing, reporting, and/or monitoring is completed. Performs other duties as assigned.
Requirements
- Bachelor's degree or equivalent experience in related field
- 7+ years of work experience beyond degree
- Legally authorized to work in the United States at the time of application
Responsibilities
- Oversees and implements activities that support Medica’s business units
- Ensures adherence to federal, state, and local regulations, as well as contractual requirements
- Collaborates with internal teams, regulatory agencies, and vendors as needed
- Ensures policies and procedures remain compliant
- Communicates regulatory requirements across teams
- Conducts or oversees auditing, reporting, and monitoring activities
- Leads regulatory compliance efforts across operations
- Supports implementation of compliant processes and procedures
- Ensures alignment between business operations and regulatory expectations
Benefits
- competitive medical, dental, vision
- PTO
- Holidays
- paid volunteer time off
- 401K contributions
- caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Senior
