Regulatory Filing Analyst, Senior
About The Position
The Regulatory Filing Analyst, Senior, supports the Commercial, Medi-Cal, and Medicare Advantage lines of business as part of the Regulatory Filings team. Reporting to the Regulatory Filings Manager of the Health Law Group within the Law Department, this role ensures accurate, timely, and compliant filings and reports to federal and state regulatory agencies. The analyst serves as a liaison with regulators and provides internal business partners with guidance on state and federal filing requirements. The role primarily prepares annual Qualified Health Plan (QHP) and off-exchange product and rate filings, while also supporting other regulatory submissions and reports. It works independently under limited supervision to coordinate deadlines, materials, filing documentation, and communication across internal teams. The position follows a hybrid workplace model; most teams work in-office two days per week, with arrangements based on business needs for employees more than 50 miles from an office location.
Requirements
- Bachelor’s degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of a degree.
- Five years of prior relevant experience, such as regulatory affairs or health insurance.
- Knowledge of the Knox Keene Act.
- Detail orientation, effective written and verbal communication, organizational skills, and the ability to manage competing priorities.
- Strong analytical and problem-solving skills.
- Proficiency in Microsoft Office, including Word, Excel, and Outlook.
- Experience using data tracking tools or similar database management technology.
Nice To Haves
- Proficiency with the Department of Managed Health Care (DMHC) Web Portal.
- Proficiency with the System for Electronic Rates & Forms Filing (SERFF).
- Proficiency with the Health Insurance Oversight System (HIOS).
Responsibilities
- Prepare and submit regulatory filings, primarily annual Qualified Health Plan (QHP) and off-exchange product and rate filings.
- Serve as a subject matter expert on assigned filing requirements and advise internal business partners on filing content, timing, and compliance considerations.
- Collaborate with internal business partners to write and edit descriptions of packaged filings so they accurately represent company proposals to regulatory agencies.
- Partner with the Government Programs team to submit mirror filings to regulatory agencies.
- Participate as a Regulatory Filings stakeholder in projects and company initiatives affecting business units, including Legal, Mandates, Contracts, Network, Product Development, HCQA, Actuary, and Global Business Services.
- Work independently under limited supervision and meet multiple deadlines set by internal business partners and regulatory agencies.
- Coordinate with cross-functional teams to gather, evaluate, and validate materials, and submit monthly, quarterly, or annual reports and filings to regulatory agencies.
- Maintain filing trackers and monitor and communicate filing status to internal business partners.
- Maintain filing documentation and supporting records for audit readiness and regulatory transparency.
- Provide research support to internal business partners, including Compliance, Internal Audits, Litigation & Subpoena, and Appeals & Grievance, for internal and regulatory audits, enforcement matters, and regulatory complaints as requested.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
