Regulatory Analyst

Centene Corporation•Remote-WA State, WA

2d•$70,100 - $126,200•Remote

About The Position

Responsible for researching and analyzing Medicaid regulations and managing deliverables, as assigned. Serve as a liaison with the state Medicaid regulator. Perform trend analysis and assessment activities of high-level operational controls. This fully remote role requires availability during Pacific Time business hours. Candidates should have 5+ years of compliance and regulatory experience and a bachelor's degree in Healthcare, a related field, or equivalent experience. Ideal candidates will have experience supporting Washington Apple Health Medicaid managed care programs, working directly with state regulators, and managing formal regulatory communications. Strong technical writing skills and the ability to interpret complex regulatory and contractual requirements and translate them into clear operational guidance are essential. This role will regularly participate in external meetings with state agencies and stakeholders, including documenting key discussions, action items, and follow-up activities.

Requirements

5+ years of compliance and regulatory experience
Bachelor’s degree in Healthcare, related field or equivalent experience
Strong technical writing skills
Ability to interpret complex regulatory and contractual requirements and translate them into clear operational guidance

Nice To Haves

Experience supporting Washington Apple Health Medicaid managed care programs
Experience working directly with state regulators
Experience managing formal regulatory communications
Experience with licensure filings, corporate governance, and contract management is preferred, ideally within the Medicare or Medicaid industry.

Responsibilities

As a liaison with the state Medicaid regulator, coordinate a high volume of incoming and outgoing regulatory communications, oversee complex audit deliverables and coordinate timely review and submission of regulatory deliverables
Research health care and related regulations using various electronic resources, including the Washington Administrative Code, Federal Register and Code of Federal Regulations
Identify laws and regulations that affect health plan operations, including those related to Medicare, Medicaid, and the Patient Protection and Affordable Care Act (ACA), and those issued by relevant agencies, including CMS and Medicaid agencies of the various states
Review and analyze legislative bills for impact to health plan
Draft and issue summaries of regulatory updates to internal customers of regulations and compliance related regulations that affect health plan operations
Respond to inquiries from internal stakeholders relating to non-routine questions relating to regulatory or related matter
Coordinate cross-functional meetings to provide regulatory updates and track operational implementation of regulatory requirements
Collaborate with internal and external teams, legal and regulatory resources regarding solutions to address potential legal, contractual and/or regulatory issues
Conduct ad hoc research to analyze, interpret and disseminate guidance on contractual and regulatory requirements
Draft regulatory operations policies, procedures and job aids