Regulatory Filing Analyst, Senior

Blue Shield of California•Oakland, CA

2d•Hybrid

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 submissions to federal and state regulatory agencies. The analyst serves as a liaison with regulators and provides regulatory guidance to internal business partners on state and federal requirements. The position prepares and submits regulatory filings, primarily annual Qualified Health Plan (QHP) and off-exchange product and rate filings. It works with internal partners and cross-functional teams to prepare filing materials, meet regulatory deadlines, maintain filing records, and support audits and other regulatory matters. The role operates independently under limited supervision and manages multiple deadlines.

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 in the Department of Managed Health Care (DMHC) Web Portal, System for Electronic Rates & Forms Filing (SERFF), and 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 regulatory filing requirements and advise internal business partners on filing content, timing, and compliance considerations.
Work with internal business partners to write and edit descriptions of packaged filings so they accurately represent the company’s 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 to meet multiple filing deadlines set by internal partners and regulatory agencies.
Collaborate with cross-functional teams to gather, evaluate, and validate materials and submit reports, including monthly, quarterly, and annual regulatory filings.
Maintain filing trackers and monitor and communicate filing status to internal business partners.
Maintain filing documentation and supporting records to ensure audit readiness and regulatory transparency.
Provide research support to internal partners, including Compliance, Internal Audits, Litigation & Subpoena, and Appeals & Grievance, for internal and regulatory audits, enforcement matters, and regulatory complaints as requested.