Senior Analyst, Regulatory Affairs
Core
Manage the end-to-end administrative lifecycle of provider disputes and Independent Dispute Resolution (IDR) processes, including intake, negotiation support, and arbitration briefing preparation.
Role type
Senior Analyst, Regulatory Affairs (IDR & Policy)
Builds
Independent Dispute Resolution workflows and regulatory compliance processes
Domain
Health Insurance / US Healthcare Policy
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
cross-functional project management, stakeholder communication, legislative tracking, complex issue distillation, regulatory compliance, project management tools
Preferred skills
Independent Dispute Resolution experience, personal injury law or paralegal background, Affordable Care Act/No Surprises Act knowledge, individual/group market experience, attorney liaison experience
Technologies
legislative tracking software, Google Workspace
Responsibilities
Intake disputes from providers and perform eligibility reviews; Engage in negotiations with business unit support; Prepare arbitration briefings and user-friendly reports; Track developments in No Surprises Act policies; Manage real-time updates on project management boards and upload evidence to regulatory portals; Serve as subject matter expert on assigned state and federal policy.
Seniority
Senior, hands-on IC
