Regulatory Operations Analyst III

About the role

Centene is hiring a Regulatory Operations Analyst III who acts as a subject matter expert on complex topics, reviewing, interpreting and summarizing proposed and enacted legislation and regulatory updates for the business. The role covers state and federal policy research and regulatory change monitoring, with the goal of securing formal regulatory approval of Commercial/Marketplace products. Working hours are CST (Central Time).

Key responsibilities

• Analyze proposed or enacted federal and state legislation affecting the assigned product and communicate findings to impacted departments.
• Perform independent risk assessments of the impact on business applications and downstream output.
• Maintain databases and reference materials on legislative and regulatory issues and compliance.
• Review, summarize and disseminate regulatory updates on Commercial/ACA rules at state and federal levels, and lead regulatory interpretation for the commercial product.
• Advise the business on emerging regulations, use persuasive arguments to secure cooperation on legal, contractual and regulatory issues, and escalate matters to management.
• Support and manage relationships with health plans and state and federal regulators, and draft responses to external requests for information used in regulatory filings.
• Assess objections to regulatory interpretation and help draft regulator-facing responses for commercial/ACA filings.
• Lead regulatory guardrails for new state entry and new product development, working with Legal on COA application submissions.
• Help develop and mentor junior employees and revise training materials.

Required profile

• Bachelor's degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience; a Master's degree or Juris Doctorate preferred.
• 4+ years of experience in health insurance, legal, compliance or a related field.
• Preferred: experience reviewing regulations and interpreting them for an audience, and experience in commercial health insurance and/or behavioral health managed care.
• Must be authorized to work in the U.S. without visa sponsorship; sponsorship is not available.

What we offer

• Pay range of $70,100 to $126,200 per year, depending on skills, experience and education.
• Health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays.
• Flexible work arrangements, including remote, hybrid, field or office schedules.