Senior Regulatory Implementation and Assurance Analyst
Core
Lead large projects and initiatives for risk case management and intake activities, translating regulatory requirements into business and technical requirements for a healthcare payer organization.
Role type
Senior Regulatory Implementation and Assurance Analyst
Builds
Enterprise-wide risk intake systems, standardized audit documentation, and regulatory implementation strategies.
Domain
Healthcare (Health Insurance Payer) / Regulatory Compliance & Risk Management
Required skills
Regulatory framework knowledge (NIST, HIPAA, HITRUST, PCI, SOC, CMS), project leadership, stakeholder communication, audit coordination, policy standardization, risk assessment, analytics utilization
Preferred skills
CPA, CISA, JD, Master's degree in Accounting/Finance/IT
Technologies
NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, NCQA, BCBSA frameworks
Responsibilities
Lead global team projects for regulatory implementation; coordinate with risk and technology partners to identify policy and process changes; support external audits and ensure data privacy compliance; standardize audit and risk intake documentation; implement policies for confidential service experiences; leverage analytics for risk recommendations.
Seniority
Senior, hands-on IC
