Senior Regulatory Compliance Analyst

Salary depends on experience
Posted on 11/13/17
Harrisburg, PA
5 - 7 years experience
Managed Care & Health Insurance
Salary depends on experience
Posted on 11/13/17

GENERAL OVERVIEW:  

Maintains the organization’s ongoing relationships with regulatory commissions/authorities.  Implement policies and programs to ensure the organization is in compliance and meeting reporting requirements.      Coordinates and conducts the assessment of internal controls to ensure compliance as required by regulatory commissions/authorities.   Develops programs and processes to manage complaint cases brought to regulatory authorities and develops process improvements to avoid future complaints.  Advances the organization’s position with internal and external parties.  

ESSENTIAL RESPONSIBILITIES: 

1. Submits regulatory filings to obtain required approvals to market insurance products, offer networks, perform administrative services, and maintain compliance with emerging law and regulation.

2. Drafts policy forms, researches mandates, composes or gathers other content, and completes reports to meet state mandates, regulator objections and inquiries; and maintains relationships with state reviewers

3. Performs procedures for: control and dissemination of regulated documents; tracking/storage of filings, approved forms, licensure information and reports; and communication of related mandates.

4. Provides compliance support to other business areas including advertising review, inquiry response, project participation, research, policy form interpretation, problem resolution and maintenance of information sources on related mandates.

5. Supports or coordinates state regulatory examinations, surveys and data calls.

6. Other duties as assigned or requested.

QUALIFICATIONS:

Education, Licenses/Certifications, and Experience 

Minimum

  • BachelorDegree
  • 5-10 years of relevant, progressive experience in the area of specialization

Preferred

  • Masters Degree or Juris doctorate
  • Paralegal certification is preferred

Knowledge, Skills and Abilities  

  • Strong written and oral communication skills.
  • Strong relationship building skills.
  • Client focused with strong business acumen.
  • Self-starter with the ability to work under pressure independently and as part of a team.
  • Ability to think strategically and act proactively to create strong trust and confidence with business units.
  • Strong innovative problem-solving capabilities.

J110125

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