Regulatory Compliance Specialist (Healthcare)

Position Type: Temp

Start Date: ASAP

End Date: 12/31/2023

Work Schedule: M-F, 8 AM to 5 PM (40 work hours per week)

Work Location: Remote (United States)

Pay Range: $28 to $34 per hour

MAJOR DUTIES AND RESPONSIBILITIES:

• Develop and implement tools, processes, and controls to identify, assess, document, and communicate compliance program requirements across the company.

• Serve as the legislative/regulatory Subject Matter Expert (SME) for the organization by monitoring and researching proposed and enacted legislation, regulation and guidance that may impact lines of business, both commercial and government.

• Review legislative updates and articles daily from primary sources, external sources, including consultants, trade associations, and plan partners.

• Prepare clear and concise compliance analysis and recommendations of applicable legislative/regulatory changes, executive summaries, reference guides, FAQ documents, multi-state matrices, and other ad hoc internal communications.

• Facilitate and oversee functional area(s) implementation of legislative/regulatory changes.

• Partner in the development of training materials across the organization that emphasize important regulatory compliance updates.

• Support the development and execution of a governance, risk, and compliance (GRC) platform to streamline compliance workflow and reporting.

• Monitor and report industry trends and best practices to continuously improve the compliance program.

• Anticipate and follow-up on internal requests and issues.

• Participate in internal/external calls/meetings to provide legislative/regulatory updates and share interpretation of legislative/regulatory matters.

BASIC QUALIFICATIONS:

• Bachelor’s Degree or equivalent work experience

• 8+ years of experience in a related field or role (e.g., paralegal, regulatory analyst, compliance analysis, etc.).

• Analytical experience and advanced proficiency with translating analysis to written & oral communications.

• Detail-oriented, methodical, and able to handle regulatory information and inquiries with a high degree of accuracy.

• Ability to work in close collaboration with colleagues, cross-functionally, and to develop strong working relationships with internal and external partners

• Advanced proficiency with Microsoft Office applications (Word, Excel, PowerPoint, and Outlook).

• Strong organizational and prioritization skills, and ability to balance multiple tasks.

• Strong teamwork focus and ability to foster trust and collaboration.

PREFERRED QUALIFICATIONS:

• Advanced degree in an applicable field of study

• 8+ years of experience in healthcare regulatory compliance.

• Extensive knowledge of healthcare industry regulations and governing laws.

• Prior experience with research tools such as LexisAdvance, Westlaw, NILS, AHIP tracker, etc.

• Prior experience with GRC platforms such as ServiceNow IRM, Archer GRC, or SAI360.

• Professionally interfaces and communicates among executives and other internal and external high-level individuals.

• Experience working in the CMS industry.