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Regulatory Analyst, Medicare
- Healthfirst (NY)
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Hybrid Work Schedule
+ You are expected to report to our NY office located at 100 Church Street 3 days a week.
Duties/Responsibilities
+ Coordinates and manages marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, and tracking approvals of material reviews in HPMS.
+ Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing significant marketing documents, assigning material IDs, and tracking submissions to regulatory agencies for status including approvals/denials.
+ Coordinates a review of the website with business owners and ensures compliance with regulatory requirements specific to annual Go to Market activities, website monitoring and ad hoc changes.
+ Assists Regulatory Affairs Managers with the review, interpretation, and dissemination of non-complex regulations such as the Health Plan Management System (HPMS) and NY State Department of Health (DOH) memos including tracking distribution of guidance to internal stakeholders and following up on outstanding deliverables as needed.
+ Assists in the preparation of Medicare Part C and D reporting via HPMS, including tracking deadlines, following up with internal stakeholders, developing templates based on published technical specifications/reporting requirements and assisting internal stakeholders with the interpretation of reporting requirements as needed.
+ Responsible for archiving monthly marketing event calendars and following up with the business as needed.
+ Works with the Broker Relations team to review Multiplan submissions, opt-in/opt-out in HPMS, and provide feedback to the team and the Regulatory Affairs Manager.
+ Validates the monthly formulary.
+ Review the Marketing Repository to ensure all completed documents are saved.
+ Reviews the Disclaimer Bank and communicates disclaimer updates to the business owner.
+ Works collaboratively with Regulatory Affairs Managers and advises them of any identified issues or concerns.
+ Represents Regulatory Affairs Managers at meetings as needed.
+ Performs other duties as assigned.
Minimum Qualifications
+ Must have a High School Diploma or GED from an accredited institution.
+ Minimum of 3 years experience working with government-sponsored programs in a Regulatory/Compliance capacity or equivalent work experience.
+ Demonstrated communication, analytical, and organizational skills.
+ Attention to detail with excellent editing skills.
+ Effective interpersonal skills including tact and courtesy.
+ Ability to work well with minimum supervision.
+ Intermediate knowledge of Microsoft Office Suite applications.
+ Knowledge of Medicare and CMS guidelines as it relates to member materials.
+ Effective time management skills.
+ Ability to work well under pressure with both internal and external parties.
+ High School Diploma or GED from an accredited institution.
Preferred Qualifications
+ Associates or Bachelors degree
+ Knowledge of Medicare Communications and Marketing Guidelines
+ Fluency in either Spanish or Chinese
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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