Regulatory Operations Analyst III - Medicaid

Centene Corporation • Remote-OR, OR

2d • $70,100 - $126,200 • Remote

About The Position

The Regulatory Operations Analyst III reviews, interprets, and summarizes proposed and enacted legislation and regulatory updates, serving as a subject matter expert on complex topics. The role conducts state and federal policy research and regulatory change monitoring to help achieve formal regulatory approval of assigned products. This role is remote for candidates located in Oregon, with some potential travel to Salem.

The analyst researches and interprets legislation and regulations affecting assigned products, assesses business risks and downstream impacts, maintains regulatory reference materials, and communicates findings to internal departments. The role leads regulatory interpretation and provides clear, audience-appropriate guidance as new regulations emerge.

The position tracks proposed changes to Oregon Administrative Rules, engages with Rule Advisory Committees, supports written feedback to the Oregon Health Authority, and acts as the business owner for the Regulatory Legislation Implementation process. It also supports the annual contract restatement and ongoing contract amendments, Oregon Health Plan contractor workgroups, and monthly Division of Financial Regulation meetings. The analyst assesses objections to regulatory interpretations and leads preparation of responses to regulators, collaborating with cross-functional partners as needed. Other duties may be assigned, and the employee must comply with all policies and standards.

Requirements

• Bachelor's degree in Business, Communications, Healthcare, Political Science/Pre-Law, or equivalent experience.
• At least 4 years of experience in health insurance, legal, compliance, or a related field.

Nice To Haves

• Master's degree in a related field or Juris Doctorate may be considered in place of experience.
• Experience reviewing regulations and providing interpretations using terminology appropriate for the audience.
• Experience in commercial health insurance and/or behavioral health managed care.
• Ability to build and maintain effective working relationships with state regulators, particularly the Oregon Health Authority.
• Strong technical understanding of Medicaid policy, administrative rules, and regulatory guidance; prior experience working at or with the Oregon Health Authority is a plus.
• High attention to detail and strong organizational skills for managing complex regulatory requirements and timelines.
• Ability to translate technical regulatory and policy language into clear, plain-language guidance and actionable recommendations.
• Ability to advocate thoughtfully and effectively for regulatory clarifications or changes when appropriate.
• Strong compliance mindset and experience ensuring organizational practices align with regulatory and contractual requirements.

Responsibilities

• Identify, analyze, and interpret proposed or enacted federal and state legislation related to assigned products, and communicate findings to impacted departments.
• Independently assess risks, including impacts to business applications and downstream output.
• Maintain databases and reference materials related to legislative and regulatory issues and compliance.
• Conduct complex regulatory analysis and disseminate summaries of regulatory updates and changes related to assigned product rules and regulations.
• Lead regulatory interpretation and explain regulatory concepts in language and presentations appropriate to the audience.
• Advise the business as new regulations emerge.
• Track proposed changes to Oregon Administrative Rules, update subject matter experts, and collect feedback.
• Engage in Rule Advisory Committees, support written feedback submissions to the Oregon Health Authority, and act as business owner for the Regulatory Legislation Implementation process.
• Own support for the annual contract restatement, monitoring changes from proposal through finalization and implementation, attending related meetings, tracking implementation with the project manager, and identifying and escalating risks to the Executive Sponsor.
• Analyze contract amendments that occur throughout the year.
• Support Oregon Health Plan contractor workgroups by attending meetings, sharing topics in advance, distributing information afterward, responding to resulting Requests for Information, and convening subject matter experts as needed.
• Support monthly Division of Financial Regulation meetings, organize follow-ups, serve as the primary contact for rules, bulletins, and expectations, manage communications, and ensure regulatory compliance.
• Assess objections related to regulatory interpretation and lead drafting of responses to regulators concerning impacted filings, partnering with cross-functional teams as needed.
• Perform other duties as assigned and comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k)
• Stock purchase plans
• Tuition reimbursement
• Paid time off
• Holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules
• Additional forms of incentives may be included in total compensation, subject to eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level