Regulatory Analyst - Hybrid

Description and Requirements

The Regulatory Analyst will: -Work with internal departments on the development and review of marketing materials and correspondence to ensure that compliance with State and Federal requirements are met. -Facilitate the review and submission of appropriate materials to NY State and Federal Agencies. -Be responsible for coordination and timely submission of all MLTC and MAP reporting requirements.

This is a Hybrid-NY role, located at 100 Church Street requiring three days per week in the office (Tues/Wed/Thurs)

Duties & Responsibilities:

• Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines.
• Prepares and submits marketing materials to State agencies and/or CMS for review and approval.
• Coordinate with internal departments regarding the review and submission of all MLTC/MAP reporting requirements.
• Communicates disposition of marketing materials to internal stakeholders.
• Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team.
• Communicates and coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that all questions and inquiries have been responded to.
• Provides support to all internal stakeholders during the annual Medicare "Go to Market" project in preparation for the Medicare Annual Enrollment Period (AEP).
• Contributes to the development of the Regulatory Affairs department's objectives.
• Handles other projects as needed.

• BA/BS from an accredited institution
• Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care regulations and NYSDOH guidelines as it relates to member materials and reporting requirements
• Ability to effectively communicate with all levels of the organization including Clinical staff and business stakeholders
• Ability to effectively and efficiently adapt in a dynamic environment
• Well organized, detail oriented, and able to adapt to procedural and other business information changes

• BA/BS in Healthcare Administration from an accredited institution
• Analytical experience in a healthcare environment (such as managed care organization, commercial health insurance plan or managed long-term care plan)
• Knowledge or prior experience using ePACES and/or CMS-MARx
• Healthfirst product knowledge of MLTC and MAP Plans