Regulatory Affairs Analyst

Company :Highmark WholecareJob Description :JOB SUMMARYThis job 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 RESPONSIBILITIESEDUCATIONSubmit regulatory filings to obtain required approvals to market insurance products, offer networks, perform administrative services, and maintain compliance with emerging law and regulation.Draft 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.Perform procedures for: control and dissemination of regulated documents; tracking/storage of filings, approved forms, licensure information and reports; and communication of related mandates.Provide 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.Support or coordinate state regulatory examinations, surveys and data calls.Other duties as assigned or requested.RequiredBachelor's DegreeSubstitutions6 years of related and progressive experience in lieu of Bachelor's degreePreferredMasters Degree or Juris DoctorateEXPERIENCERequired3 years of relevant, progressive experience in the area of specialization. Grandfathered experience requirements effective August 2016.PreferredNoneLICENSES or CERTIFICATIONSRequiredNonePreferredParalegal certificationSKILLSStrong written and oral communication skillsStrong relationship building skillsClient focused with strong business acumenSelf-starter with the ability to work under pressure independently and as part of a teamAbility to think strategically and act proactively to create strong trust and confidence with business unitsStrong innovative problem-solving capabilitiesLanguage (Other than English):NoneTravel Requirement:0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice-basedTeaches / trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteOccasionallyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsOccasionallyDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this pliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.For accommodation requests, please contact HR Services Online at Consumer Privacy Act Employees, Contractors, and Applicants Notice

Created: 2024-10-19