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Dale WorkForce Solutions · 6 days ago

Regulatory Performance Analyst

Phila, PA

Full-time

Hybrid

Mid Level

3+ years exp

Dale WorkForce Solutions is seeking a Regulatory Compliance Analyst to identify, document, and track compliance issues within operational performance areas of a major health insurance issuer. The role involves analyzing regulatory requirements, collaborating with business areas to address compliance gaps, and monitoring potential compliance risks.

Bookkeeping and PayrollConsultingRecruitingStaffing Agency

Responsibilities

Regulatory Analysis: Interpret and analyze federal and state regulatory requirements, providing clear regulatory guidance to operational teams and ensuring effective implementation of new laws and regulations

Corrective Action Plan (CAP) Tracking: Leverage compliance tracking software to document CAPs and develop remediation plans, ensuring alignment with regulatory standards. Maintain regular updates on disclosed issues

Operational Collaboration: Work closely with business areas to address compliance gaps, ensuring that they are taking appropriate ownership of any CAPs under their purview, thoroughly analyzing root cause, providing evidence remediation, and documenting updated processes in policies and procedures

Proactive Monitoring: Analyze indicators, identify trends, and monitor potential compliance risks, escalating issues and driving resolution as needed

Qualification

Compliance analysisHealth insurance regulationsLegal researchMicrosoft OfficeOrganizational skillsVerbal communicationWritten communicationAdaptabilityIndependent work