Regulatory Change Management Analyst

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⛰️ Colorado, New York – Remote

⛰️ Colorado – Remote 🗽 New York – Remote

💵 $72.8k - $109k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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Capital Rx

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2017

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx is the fastest growing healthtech company in America, dedicated to transforming the prescription pricing and patient care landscape. Founded in 2017, it offers innovative pharmacy benefit management (PBM) services, including customizable pharmacy benefits for large employers and an AI-powered care navigation platform. Capital Rx focuses on delivering cost-effective solutions and operational efficiencies to clients while ensuring transparency and quality care for patients.

📋 Description

• 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

🎯 Requirements

• 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.