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Regulatory Analyst
- Healthfirst (NY)
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This is a Hybrid-NY role, located at 100 Church Street requiring three days per week in the office (Tues/Wed/Thurs)
Duties & Responsibilities:
+ Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines.
+ Prepares and submits marketing materials to State agencies and/or CMS for review and approval.
+ Coordinate with internal departments regarding the review and submission of all MLTC/MAP reporting requirements.
+ Communicates disposition of marketing materials to internal stakeholders.
+ Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team.
+ Communicates and coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that all questions and inquiries have been responded to.
+ Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual Enrollment Period (AEP).
+ Contributes to the development of the Regulatory Affairs department's objectives.
+ Handles other projects as needed.
Minimum Requirements:
+ BA/BS from an accredited institution
+ Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care regulations and NYSDOH guidelines as it relates to member materials and reporting requirements
+ Ability to effectively communicate with all levels of the organization including Clinical staff and business stakeholders
+ Ability to effectively and efficiently adapt in a dynamic environment
+ Well organized, detail oriented, and able to adapt to procedural and other business information changes
Preferred Requirements:
+ BA/BS in Healthcare Administration from an accredited institution
+ Analytical experience in a healthcare environment (such as managed care organization, commercial health insurance plan or managed long-term care plan)
+ Knowledge or prior experience using ePACES and/or CMS-MARx
+ Healthfirst product knowledge of MLTC and MAP Plans
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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