Delta Dental Ins.
The Regulatory Compliance Analyst is responsible for researching and monitoring all applicable Federal, State, and local regulations/laws to enable organizational compliance. On an on-going basis, this role assesses regulations, laws, contractual agreements, and mandates to assure compliance with enterprise standards and may develop and/or deliver communications relative to new standards or rules. In addition, this position is responsible for preparing, executing and submitting various insurance‑related, product, and/or licensing filings for regulatory approval and may perform assessments and other compliance or regulatory tasks.
Qualifications
2+ years of regulatory compliance experience w/ Bachelor’s degree.
Health insurance regulatory experience preferred.
Knowledge of health care industry issues and insurance terminology.
Aptitude to proactively collect and interpret facts, identify and define vulnerabilities, and initiate opportunities and solutions.
Strong organizational and prioritization skill sets that enable one to set and meet deadlines/timeframes.
Working knowledge of and experience with industry regulatory portals.
Proficiency with the Microsoft Office Suite, including Word, Excel, Outlook, Teams, etc.
Working knowledge of Westlaw or other legal research databases.
Working knowledge of SharePoint.
Ability to build trust through organizational savvy and interpersonal skills, allowing for ease of collaboration and communication.
Ability to learn through embracing challenges, persisting in the face of setbacks, and processing constructive feedback.
Base Pay Information The national base pay range at the end is a good‑faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 19. $63,700 - $133,500
Responsibilities
Prepare and submit various insurance documents, records, policy forms, and/or product‑related information to regulators or auditors in industry portals.
Review regulator or auditor objections/deficiencies, and prepare clear and concise communications to impacted internal business areas or work groups; Assist with response development.
Communicate state‑specific changes to internal business areas.
Participate in low‑to‑moderately complex regulatory activities to ensure consistency and timeliness of regulatory and legislative compliance.
Maintain and/or advance the Enterprise’s position with the business and external regulatory agencies/commissions; form relationships with auditors and/or regulators.
Research and collaborate with the business to provide regulatory filing strategy of form, rate, network, and entity filings to accommodate regulatory and/or design changes and maintenance.
Review materials, records, policies, advertising and communications in advance of distribution or publication to ensure regulatory compliance.
Keep abreast of the changing insurance industry legal and regulatory landscape; evaluate the regulatory environment for roadblocks or changes that may impact compliance activities.
Perform ongoing monitoring, testing and reporting on adherence to compliance program and regulatory requirements.
Work with compliance subject matter experts to operationalize the Compliance Management Program and related processes.
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Qualifications
2+ years of regulatory compliance experience w/ Bachelor’s degree.
Health insurance regulatory experience preferred.
Knowledge of health care industry issues and insurance terminology.
Aptitude to proactively collect and interpret facts, identify and define vulnerabilities, and initiate opportunities and solutions.
Strong organizational and prioritization skill sets that enable one to set and meet deadlines/timeframes.
Working knowledge of and experience with industry regulatory portals.
Proficiency with the Microsoft Office Suite, including Word, Excel, Outlook, Teams, etc.
Working knowledge of Westlaw or other legal research databases.
Working knowledge of SharePoint.
Ability to build trust through organizational savvy and interpersonal skills, allowing for ease of collaboration and communication.
Ability to learn through embracing challenges, persisting in the face of setbacks, and processing constructive feedback.
Base Pay Information The national base pay range at the end is a good‑faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 19. $63,700 - $133,500
Responsibilities
Prepare and submit various insurance documents, records, policy forms, and/or product‑related information to regulators or auditors in industry portals.
Review regulator or auditor objections/deficiencies, and prepare clear and concise communications to impacted internal business areas or work groups; Assist with response development.
Communicate state‑specific changes to internal business areas.
Participate in low‑to‑moderately complex regulatory activities to ensure consistency and timeliness of regulatory and legislative compliance.
Maintain and/or advance the Enterprise’s position with the business and external regulatory agencies/commissions; form relationships with auditors and/or regulators.
Research and collaborate with the business to provide regulatory filing strategy of form, rate, network, and entity filings to accommodate regulatory and/or design changes and maintenance.
Review materials, records, policies, advertising and communications in advance of distribution or publication to ensure regulatory compliance.
Keep abreast of the changing insurance industry legal and regulatory landscape; evaluate the regulatory environment for roadblocks or changes that may impact compliance activities.
Perform ongoing monitoring, testing and reporting on adherence to compliance program and regulatory requirements.
Work with compliance subject matter experts to operationalize the Compliance Management Program and related processes.
#J-18808-Ljbffr