Analyst IV – Regulatory Compliance – Workers Compensation, Auto & Commercial

Why consider this job opportunity

• Salary up to $120,000 plus corporate bonus incentive
• Comprehensive benefits package including Medical, Dental, Vision, 401(k) with company match, and Paid Time Off
• Opportunity to work in an award-winning culture that emphasizes company values
• Engage in continuous improvement efforts that impact operational efficiency and compliance
• Potential for career advancement and professional development within the organization

• Monitor and track federal and state laws impacting the employer's operations, preparing communications for affected business areas
• Provide cross-functional support in developing and implementing policies and procedures to ensure legal compliance
• Secure and maintain required operational licenses
• Identify continuous improvement opportunities for compliance tracking and reporting
• Train and mentor new team members in the Compliance Department

• Minimum of 7 years of experience in a managed care setting with knowledge of laws impacting workers’ compensation, auto, and/or commercial health insurers
• Bachelor’s degree preferred; JD or paralegal experience is a plus
• Expertise in regulations related to utilization management, claims, and network management
• Proficiency in MS Office Suite, including Excel and Power Point
• Strong organizational, analytical, and communication skills with attention to detail

• Experience in regulatory affairs and operations of HMOs or managed care organizations
• Advanced legal research skills
• In-depth knowledge of state and federal guidelines governing managed health care
• Ability to operate with a high degree of autonomy and sound judgment in decision-making

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.