Sr. Analyst, Regulatory Complaints
Core
Providing written responses to potential concerns from State DOIs, resolving member and provider complaints, and identifying issues and trends.
Role type
Senior Analyst, Regulatory Complaints
Builds
Written resolutions for regulators and internal trend analysis
Domain
Health insurance compliance and regulatory operations
Deliverable
client delivery
Required skills
Regulatory complaint resolution, trend identification, cross-functional partnership, regulatory relationship management, claims/appeals knowledge
Preferred skills
Individual market health insurance plans experience, cross-functional collaboration
Responsibilities
Research and resolution of Regulatory Complaints, Support identification of escalated issues, Partner with leadership to share trends and propose solutions, Advise teammates on potential solutions, Develop successful relationships with state insurance regulators, Ensure compliance with applicable laws and regulations