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Beacon Hill is hiring for a Regulatory Compliance Analyst to support a major health insurance issuer by identifying, documenting, and tracking the resolution of compliance issues across key operational areas, including billing, enrollment, and claims. This role will also focus on researching and interpreting state and federal regulations, including the Affordable Care Act, to provide guidance that supports compliant business operations.
This position is well-suited for a highly independent professional with strong research, analytical, and problem-solving skills. A legal background or legal research experience is a strong plus.
Responsibilities:
Interpret and analyze federal and state regulatory requirements, providing clear and practical compliance guidance to operational teams.
Research new and existing laws and regulations and support the implementation of regulatory changes.
Document, track, and manage Corrective Action Plans (CAPs) using compliance tracking software.
Develop and monitor remediation plans to ensure alignment with regulatory standards.
Maintain regular updates and documentation related to disclosed compliance issues.
Partner closely with business areas to address compliance gaps, including root cause analysis, remediation evidence, and updates to policies and procedures.
Proactively monitor compliance indicators, analyze trends, and identify potential compliance risks.
Escalate issues as needed and drive resolution in collaboration with stakeholders.
Support multiple initiatives while managing competing priorities in a fast-paced environment.
Requirements:
Bachelor’s degree or equivalent work experience required.
Minimum of 3 years of experience in managed care, healthcare, or a related field.
Prior compliance experience and familiarity with health insurance operations and regulations strongly preferred.
Knowledge of the Affordable Care Act highly desirable.
JD or legal research experience is a significant plus.
Exceptional organizational, written, and verbal communication skills.
Proficiency in Microsoft Office, including Outlook, Teams, Word, and Excel.
Familiarity with Citrix and the ability to adapt to new technologies.
Ability to work independently and effectively in a fast-paced environment.
