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Commercial Regulatory Guidance Specialist / Remote / NYC Area


Pay$100000.00 / year
LocationNew York/New York
Employment typeFull-Time

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  • Job Description

      Req#: 303111
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $100,000
      - Excellent benefits package
      - Opportunity for career advancement and growth within the organization
      - Flexible remote work arrangement with occasional in-office presence for key meetings
      - Chance to make a meaningful impact on healthcare compliance and access

      What to Expect (Job Responsibilities):
      - Ensure ongoing compliance with ACA, CMS, and state-specific regulations for commercial health insurance products
      - Provide regulatory guidance to cross-functional teams, including sales, marketing, product development, and leadership
      - Conduct internal compliance reviews, risk assessments, and audits
      - Monitor and communicate changes in federal and state regulatory guidance
      - Drive the implementation of new regulatory requirements across operations

      What is Required (Qualifications):
      - Bachelor's degree required
      - Minimum of 3 years of experience in managed care or a related healthcare compliance field
      - Strong knowledge of healthcare regulations, including ACA, CMS, and state-specific rules for public and commercial health plans
      - Demonstrated ability to lead interdepartmental initiatives and manage multiple projects
      - Excellent communication, writing, and analytical skills

      How to Stand Out (Preferred Qualifications):
      - Relevant certifications such as CHC or CCEP are a plus
      - Skilled in translating complex regulatory language into actionable operational guidance
      - High level of professionalism and discretion when handling sensitive or confidential information

      #HealthcareCompliance #CareerOpportunity #RemoteWork #HealthcareServices #RegulatoryGuidance

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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