Note: The job is a remote job and is open to candidates in USA. CareCentrix is a company focused on healthcare services, and they are seeking a Healthcare Regulatory Compliance Analyst to monitor federal and state regulatory requirements impacting their workers' compensation, auto, and commercial programs. The role involves supporting the compliant implementation of legal and customer requirements while facilitating continuous improvement efforts to ensure compliance with applicable legal requirements.
Responsibilities
• Monitor and analyze federal and state laws and guidance affecting CareCentrix’s workers’ compensation, auto, and commercial program operations
• Prepare and distribute clear written and verbal communications to impacted business areas
• Provide cross‑functional support, guidance, and direction in developing policies, procedures, and operational changes required for legal and regulatory compliance
• Partner with operational teams to implement these changes effectively
• Secure and maintain all required operational licenses
• Support the onboarding and implementation of new CareCentrix workers’ compensation, auto, and commercial program clients
• Identify and drive continuous improvement initiatives to enhance compliance tracking, trending, and reporting capabilities
• Conduct internal audits as needed and identify opportunities for process improvement
• Develop and deliver training programs to ensure teams fully understand compliance requirements
Skills
• Bachelor's degree preferred, or a minimum of 5 years of experience in a managed care setting working with laws impacting workers' compensation, auto, and/or commercial health insurers and delegated entities
• This includes experience with regulations governing utilization management, claims, network management, and credentialing
• Demonstrated experience in regulatory affairs and/or the operations of HMOs, managed care organizations, or other insurers
• Proficiency in Microsoft Office applications, including Excel, SharePoint, PowerPoint, and OneNote
• Advanced legal research abilities; strong organizational and analytical skills; excellent written, verbal, and presentation communication skills; and exceptional attention to detail
• Requires in‑depth knowledge of state and federal workers' compensation, auto, and/or commercial managed healthcare regulations and guidelines
Benefits
• Medical
• Dental
• Vision
• 401(k) with company match
• HSA employer contributions
• Dependent Care FSA employer contribution
• Paid Time Off
• Personal/Sick Time
• Paid Parental Leave
• And more.
Company Overview
• CareCentrix is a home health center that offers post-acute care, home infusion, and serious illness care services. It was founded in 1996, and is headquartered in Hartford, Connecticut, USA, with a workforce of 1001-5000 employees. Its website is http://www.carecentrix.com.