Healthfirst

The Regulatory Analyst will: -Work with internal departments on the development and review of marketing materials and correspondence to ensure that compliance with State and Federal requirements are met. -Facilitate the review and submission of appropriate materials to NY State and Federal Agencies. -Be responsible for coordination and timely submission of all MLTC and MAP reporting requirements.  

This is a Hybrid-NY role, located at 100 Church Street requiring three days per week in the office (Tues/Wed/Thurs)

Duties & Responsibilities:

• Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines.

• Prepares and submits marketing materials to State agencies and/or CMS for review and approval.

• Coordinate with internal departments regarding the review and submission of all MLTC/MAP reporting requirements.

• Communicates disposition of marketing materials to internal stakeholders.

• Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team.

• Communicates and coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that all questions and inquiries have been responded to.

• Provides support to all internal stakeholders during the annual Medicare “Go to Market” project in preparation for the Medicare Annual Enrollment Period (AEP).

• Contributes to the development of the Regulatory Affairs department's objectives.

• Handles other projects as needed.

 

Minimum Requirements:

• BA/BS from an accredited institution

• Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care regulations and NYSDOH guidelines as it relates to member materials and reporting requirements

• Ability to effectively communicate with all levels of the organization including Clinical staff and business stakeholders

• Ability to effectively and efficiently adapt in a dynamic environment

• Well organized, detail oriented, and able to adapt to procedural and other business information changes

 

Preferred Requirements:

• BA/BS in Healthcare Administration from an accredited institution

• Analytical experience in a healthcare environment (such as managed care organization, commercial health insurance plan or managed long-term care plan)

• Knowledge or prior experience using ePACES and/or CMS-MARx

• Healthfirst product knowledge of MLTC and MAP Plans

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $57,400 - $78,030

• All Other Locations (within approved locations): $49,800 - $74,120

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.