Senior Regulatory Compliance Analyst

📋 Description

• • As a Senior Regulatory Compliance Analyst at Avesis Incorporated, you will play a pivotal role in ensuring the company's adherence to a complex web of state and federal laws and regulations impacting our supplemental benefits programs and products.
• • This position demands a deep understanding of government Managed Care programs, requiring you to meticulously identify, analyze, and translate intricate laws, regulations, guidance, and contractual requirements into actionable insights for Avesis LLC businesses.
• • You will be instrumental in coordinating and leading critical implementation activities, guaranteeing that Avesis not only meets but exceeds the expectations, outcomes, and requirements set forth by state and federal regulatory bodies.
• • A key aspect of this role involves acting as a subject matter expert, interfacing directly with company leaders and operational teams to provide clear, applicable regulatory guidance and expert advice.
• • Your ability to effectively communicate how regulatory changes impact business and functional processes, and to validate the successful implementation of necessary adjustments, will be crucial to your success.
• • We are seeking a candidate who is a self-motivated, critical thinker with exceptional analytical skills, capable of transforming complex regulations into clear, tactical guidance for our business and functional partners.
• • A proactive bias for action and a commitment to driving compliance initiatives will be highly valued.
• • Your responsibilities will include monitoring, tracking, and staying abreast of all applicable laws, regulations, and guidelines relevant to the company's operations.
• • You will perform in-depth regulatory interpretation and analysis of new legislation and rules, developing comprehensive written communications to guide the business on necessary implementation changes.
• • Collaborating closely with business owners, you will validate that policies, procedures, and processes are designed, developed, and implemented in strict accordance with relevant laws, regulations, and guidelines.
• • A significant part of your role will involve identifying and evaluating potential risks to the company, and subsequently developing, communicating, and executing initiatives to foster awareness and understanding of compliance issues, applicable laws, regulations, requirements, and the consequences of non-compliance.
• • You will provide essential regulatory interpretive guidance to support various company initiatives and programs, ensuring alignment with legal and regulatory frameworks.
• • This role requires you to interface with external clients and regulatory bodies to address inquiries, and to provide support during audit or examination activities, representing Avesis professionally and effectively.
• • You will proactively identify, address, and resolve compliance issues in close partnership with business stakeholders, demonstrating a commitment to continuous improvement and risk mitigation.
• • Proficiency in conducting thorough regulatory research is essential, enabling you to interpret, analyze, and articulate the impact of legislation, regulatory, and contractual requirements on business processes and policies.
• • Excellent interpersonal skills and demonstrated proficiency in both written and verbal communication are vital for effectively engaging with internal partners and external state or federal regulators.
• • Strong analytical, decision-making, planning, and people/project management skills are necessary to effectively manage shifting priorities and complex compliance landscapes.
• • The ability to perform critical thinking and develop innovative solutions to complex compliance-related issues or problems is a key requirement.
• • You will need to interact and collaborate effectively with all members of the organization, fostering an environment of enhanced understanding, respect, cooperation, and problem-solving.
• • The capacity to work independently and with minimal direction, demonstrating initiative and ownership, is expected.
• • Demonstrated project management skills will be leveraged to successfully drive compliance projects from inception to completion.
• • Behavioral competencies such as collegiality, initiative, strong communication, a member-focused approach, meticulous attention to detail, flexibility, critical thinking, integrity, responsibility, and a collaborative spirit are essential for success in this role and for contributing to Avesis's inclusive and dynamic culture.
• • This role offers the opportunity to accelerate innovation in a secure and compliant manner within a leading provider of supplemental benefits.