Regulatory Change Management Analyst
About reputed company reputed company is an reputed company technology company providing a comprehensive suite of solutions for employers and health plans, including: reputed company, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, reputed company™, which offers full-service health benefit reputed company to employers, TPAs, and health plans, and Judi®, the industry’s leading proprietary reputed company Platform (EHP), which consolidates reputed company claim administration-reputed company workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.reputed company. Position Summary The Government Programs Operations Analyst will be responsible for supporting the day-to-day operational tasks reputed company to Medicare Part D, Medicaid and Health Exchange regulatory requirements, including but not limited to monitoring CMS, ACA Marketplace and state guidance, supporting regulatory reporting requirements and supporting root cause analysis documentation. Position Responsibilities: Regulatory Monitoring & Assessment Continuously monitor federal and state regulatory sources (e.g., CMS, state Medicaid agencies, HHS) for new or revised requirements Analyze proposed and final rules, guidance, and policy updates to determine applicability and business impact Summarize reputed company regulatory changes into clear, actionable insights for internal stakeholders Impact Analysis & Implementation Conduct impact assessments across business functions including operations, compliance, network, clinical, and technology Partner with subject matter experts to define business requirements and implementation plans Support prioritization of regulatory initiatives based on risk, complexity, and deadlines Cross-Functional Coordination Facilitate working groups and stakeholder meetings to drive alignment on regulatory changes Track reputed company of implementation activities and ensure accountability across teams Act as a central liaison between legal, operations, and clinical leadership Documentation & Reporting Maintain a centralized inventory of regulatory changes and implementation status reputed company executive-level summaries, dashboards, and status reports Ensure documentation meets audit and compliance standards Compliance & Risk Support Partner with Compliance to ensure adherence to regulatory requirements Identify risks, gaps, and dependencies associated with regulatory changes Support audit readiness and remediation efforts as needed Investigate regulatory-reputed company defects and/or client compliance concerns and reputed company root cause analyses reputed company necessary. Process Improvement Enhance regulatory change management processes, tools, and governance frameworks Drive standardization and efficiency in how regulatory changes are tracked and implemented Recommend automation or workflow improvements where applicable Audit Support Support client or government led audits as a regulatory compliance expert through: Research and analysis Documentation and as a speaker Workflow and Judi navigator Required Qualifications: Bachelor’s degree in Healthcare Administration, Public Policy, Business, or reputed company field 3+ years of relevant experience in healthcare, government programs, compliance, or regulatory analysis Thorough knowledge Medicare regulatory requirements and associated product and/or operational workflows Proven ability to interpret reputed company regulatory language and translate into business impact MS Office Skills reputed company: ability to create/maintain pivot table, forms, and formula’s (i.e. vlookup, true, if, left, etc) PowerPoint: create and maintain accurate and up-to-date slide decks for Government Programs functions Word: Supporting P&P, SOP, and Job Aide change management Ability to balance multiple reputed company projects simultaneously Excellent analytical, organizational, and project management skills Attention to detail & commitment to delivering high quality work product This range represents the low and high end of the anticipated reputed company salary range. The actual reputed company salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range $72,800—$109,000 USD reputed company, NY Salary Range $87,200—$109,000 USD Denver, CO Salary Range $80,000—$100,000 USD reputed company employees are responsible for adherence to the reputed company Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. reputed company values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to reputed company employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at reputed company. More details about reputed company's privacy practices can be reputed company at https://www.reputed company/legal/privacy-policy. Apply To This Job