Senior Associate, Government Programs Compliance, Regulatory

🕒 Outubro 9

🌽 Illinois, Massachusetts, +2 estados a mais – Remoto

🌽 Illinois – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 11%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 32 dias.
• As vagas desta empresa costumam ser preenchidas em 42 dias.
• Sem salário divulgado.

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Ankura

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🎖️ Defesa

🏗️ Construção

🏥 Saúde

💰 Private Equity Round em 2021-11

Defense • Construction • Healthcare

Ankura é uma empresa líder global em serviços especializados e consultoria, especializada em fornecer soluções de consultoria estratégica em uma infinidade de indústrias. A empresa capacita os clientes aproveitando a inteligência artificial para aprimorar a tomada de decisões, automatizar processos e garantir vantagens competitivas. Ankura é especializada em gerenciar situações de crise, oferecendo soluções estratégicas que protegem, criam e recuperam valor para os clientes. A equipe multidisciplinar da empresa colabora para implementar soluções personalizadas que gerenciem eficientemente os desafios de risco, conformidade e transformação.

Descrição

• Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and Affordable Care Act programs • Interpret CMS guidance, state Medicaid contracts, regulatory communications, and other requirements to evaluate their impact on health plan operations • Review health plan policies, procedures, reports, data, operational documentation, and supporting materials to assess compliance • Analyze regulatory and operational issues, identify potential gaps or risks, and communicate findings to engagement leadership • Develop workpapers, findings, reports, presentations, and other client deliverables • Own defined project workstreams, coordinate assigned activities, monitor progress, and complete deliverables within established timelines • Work with Project Managers and engagement leaders to understand client concerns, define project objectives, and develop work plans • Apply structured problem-solving and critical-thinking skills to complex regulatory, compliance, and operational questions • Communicate project updates, emerging issues, and findings to engagement leadership • Collaborate with colleagues and client stakeholders • Review and provide guidance on work completed by junior team members, as appropriate • Support high-quality client deliverables within the desired timeframe • Contribute to practice development, internal knowledge sharing, tools, methodologies, and service offerings • Maintain confidentiality of client information and understand privileged and confidential communications

🎯 Requisitos

• Bachelor’s degree from an accredited college or university • Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field • Experience working with Medicare Advantage, Medicaid managed care, Affordable Care Act programs, or other government-sponsored health care programs • Working knowledge of CMS guidance, state Medicaid contractual requirements, and health plan operational processes • Experience conducting regulatory research and translating complex requirements into practical operational considerations • Experience analyzing health plan data, policies, procedures, documentation, or operational processes • Strong analytical, critical-thinking, and problem-solving skills • Ability to develop clear, concise, and well-supported written analyses and client deliverables • Excellent written and verbal communication skills • Ability to manage multiple assignments, establish priorities, and meet deadlines in a client-service environment • Ability to work independently and as part of a collaborative engagement team • Proficiency in Microsoft Excel, Word, and PowerPoint • Willingness to travel based on client and engagement needs • Consulting or professional services experience preferred • Experience supporting or guiding junior team members preferred • Experience assessing health plan compliance with regulatory or contractual requirements • Experience with compliance audits, operational reviews, risk assessments, corrective action plans, or regulatory readiness activities • Familiarity with multiple functional areas of health plan operations • Experience interacting directly with clients or senior internal stakeholders

🏖️ Benefícios

• Affirmative Action and Equal Opportunity Employer • Reasonable accommodation available for applicants with disabilities

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