Centene
posted 4 months ago
As a Regulatory Operations Analyst II - Member Contracts at Centene, you will play a crucial role in transforming the health of our communities by ensuring compliance with state and federal regulations. This position involves performing in-depth policy research and monitoring regulatory changes to achieve formal regulatory approval for commercial and Marketplace products. You will act as a subject matter expert, providing regulatory interpretation to various business units and assisting with special projects and reporting functions. Your ability to understand departmental needs and inter-dependencies with other departments will be essential in this role. In this position, you will monitor pending legislation and regulations that impact Centene's commercial business, particularly in low to medium risk states. Your responsibilities will include analyzing and interpreting proposed or enacted legislation, preparing communications related to these findings, and collaborating with other departments to resolve policy issues that may negatively affect member services. You will conduct research projects to analyze legal, contractual, and regulatory requirements, and communicate these requirements to both internal and external clients. Building trust-based relationships and collaborating with various functional areas will be key to your success. You will lead sub-projects and smaller initiatives, assist teams in addressing potential legal and regulatory issues, and review filing documentation to ensure compliance with regulatory requirements. Additionally, you will manage relationships with regulatory agencies and respond to inquiries from both internal and external stakeholders. Your role will also involve maintaining departmental policies, procedures, and work processes, as well as performing data entry into tracking systems for regulatory and legislative activities.