Regulatory Change Management Analyst

🕒 2 dias atrás

⛰️ Colorado, New York – Remoto

⛰️ Colorado – Remote 🗽 New York – Remote

💵 $72.800 - $109.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista de Negócios

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Capital Rx

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

💳 Fintech

🤖 Inteligência Artificial

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx é a healthtech que mais cresce nos Estados Unidos, dedicada a transformar os modelos de precificação de medicamentos e de cuidado ao paciente. Fundada em 2017, oferece serviços inovadores de gestão de benefícios farmacêuticos (PBM), incluindo benefícios de farmácia personalizáveis para grandes empregadores e uma plataforma de navegação de cuidados com IA. A Capital Rx foca em entregar soluções custo-efetivas e eficiências operacionais aos clientes, garantindo transparência e cuidado de qualidade para os pacientes.

Descrição

• 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 complex regulatory changes into clear, actionable insights for internal stakeholders • 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 • Facilitate working groups and stakeholder meetings to drive alignment on regulatory changes • Track progress of implementation activities and ensure accountability across teams • Act as a central liaison between legal, operations, and clinical leadership • Maintain a centralized inventory of regulatory changes and implementation status • Develop executive-level summaries, dashboards, and status reports • Ensure documentation meets audit and compliance standards • 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-related defects and/or client compliance concerns and develop root cause analyses when necessary. • 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 • Support client or government led audits as a regulatory compliance expert through: • Research and analysis • Documentation and as a speaker • Workflow and Judi navigator

🎯 Requisitos

• Bachelor’s degree in Healthcare Administration, Public Policy, Business, or related 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 complex regulatory language and translate into business impact • MS Office Skills • Excel: 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 complex projects simultaneously • Excellent analytical, organizational, and project management skills • Attention to detail & commitment to delivering high quality work product.