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Regulatory Change Management Analyst

1 month ago
United States
Full-time
Mid Level
Compliance Manager
Operations
Apply Now
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017
View All Jobs 33

Description

  • Monitor federal and state regulatory sources such as CMS, state Medicaid agencies, and HHS for new or revised requirements.
  • Analyze proposed and final rules, guidance, and policy updates to determine applicability and business impact.
  • Summarize complex regulatory changes into clear, actionable insights for internal stakeholders.
  • Conduct impact assessments across operations, compliance, network, clinical, and technology functions.
  • Partner with subject matter experts to define business requirements and implementation plans.
  • Facilitate working groups and stakeholder meetings to align teams on regulatory changes.
  • Track implementation progress and ensure accountability across cross-functional teams.
  • Maintain a centralized inventory of regulatory changes and implementation status.
  • Develop executive-level summaries, dashboards, and status reports.
  • Investigate regulatory-related defects or client compliance concerns and develop root cause analyses when needed.
  • Enhance regulatory change management processes, tools, and governance frameworks.
  • Support client or government-led audits through research, documentation, workflow support, and speaking as needed.

Requirements

  • Bachelor’s degree in Healthcare Administration, Public Policy, Business, or a related field.
  • 3+ years of relevant experience in healthcare, government programs, compliance, or regulatory analysis.
  • Thorough knowledge of Medicare regulatory requirements and associated product and/or operational workflows.
  • Proven ability to interpret complex regulatory language and translate it into business impact.
  • Strong Microsoft Office skills, including Excel pivot tables, formulas, and functions such as VLOOKUP, TRUE, IF, and LEFT.
  • Ability to create and maintain accurate PowerPoint slide decks for Government Programs functions.
  • Experience supporting P&P, SOP, and Job Aide change management in Word.
  • Ability to balance multiple complex projects simultaneously.
  • Excellent analytical, organizational, and project management skills.
  • Strong attention to detail and commitment to high-quality work products.

Benefits

  • Remote role with U.S. salary range of $72,800 to $109,000.
  • New York, NY salary range of $87,200 to $109,000.
  • Denver, CO salary range of $80,000 to $100,000.
  • Equal employment opportunity and a commitment to workplace diversity and non-discrimination.
  • Personal data is retained for consideration for future positions, with privacy practices available in the company privacy policy.

Interested in this position?

Apply directly on the company website

Apply Now

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