Senior Regulatory Research Analyst (Colombia)

Overview

The Senior Regulatory Research Analyst will analyze regulatory changes in the U.S. healthcare market focusing on federal and state regulatory changes that impact health insurance carriers (payers). The role deeply understands and summarizes regulatory changes and recommends strategic and/or tactical actions based on research and interpretation. Areas of responsibility include risk‑adjustment program rules and changes, HEDIS, STARS, state‑specific quality programs, and changes to regulations around HIPAA, PHI, PII, or other regulations from CMS or laws enacted by the federal congress. This role may oversee or lead the work of other research consultants, analysts, or vendors who may be assisting on projects.

Duties and Responsibilities

• Work cross‑functionally to manage all aspects of research projects within the Regulatory Research Program to better understand and improve the company's compliance and competitive position.
• Manage produ...