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    Regulatory Adherence Analyst - Minnetonka, United States - Medica

    Medica
    Medica Minnetonka, United States

    3 weeks ago

    Default job background
    Full time
    Description

    Medica's Regulatory Adherence Analyst is responsible for overseeing contractual and regulatory obligations necessary to service Medica's Minnesota and Wisconsin Medicaid products. The position focuses on overall maintenance of the Medicaid regulatory reporting/tracking and materials submission. It has an essential role in the oversight of contractual and regulatory requirements necessary to service Medica's contracts with the Department of Human Services.

    Key Accountabilities:

  • Communicating requirements and reporting accountabilities with affected areas within Medica
  • Thorough documentation of implementation and Medicaid contract adherence activities in accordance with the standards of the Medicaid Regulatory Adherence department
  • Coordinate with internal and vendor partners to ensure regulatory required reports are completed timely and submitted to Minnesota and Wisconsin DHS per contract requirements
  • Completes assigned DHS and CMS filings as well as serving as a contact with Minnesota and Wisconsin DHS

    • This position represents the Medicaid segment on internal operational committees and represents Medica at meetings with the Department of Human Services as assigned.

    Qualifications:

  • Bachelor's degree or equivalent experience in related field
  • 3 years of work experience beyond degree

    • Additional Experience, Skills and Abilities:

  • Experience working in healthcare or health insurance industry
  • Knowledge of government products in Minnesota and/or Wisconsin
  • Previous work with Department of Human Services
  • Ability to interpret/translate regulatory contracts
  • Ability to establish and maintain strong business relationships at multiple levels of an organization
  • Strong organizational skills with understanding needs required to meet regulatory deadlines
  • Proficient with Microsoft suite, particularly Excel

    • This position is a Hub role, which requires an employee to occasionally come onsite to the Minnetonka or Madison office for applicable heads-up work. Frequency is determined by business need as decided by leadership.

    The full salary range for this position is $54,100 - $92,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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