Senior Associate, Government Programs Compliance and Regulatory
Ankura
- # Senior Associate, Government Programs Compliance and RegulatoryApply: Pittsburgh, PA: Boston, MA: Georgia: Chicago, IL: Ann Arbor, MI: Full time: Posted Today: R105094Ankura is a team of excellence founded on innovation and growth.### Role OverviewAnkura is seeking a Senior Associate to support client engagements involving compliance, operational, and regulatory matters across Medicare Advantage, Medicaid managed care, and Affordable Care Act programs.The Senior Associate will conduct regulatory research; analyze health plan data, documentation, policies, and operational processes; and develop findings, workpapers, reports, presentations, and other client deliverables. The successful candidate will understand how CMS guidance, state contractual requirements, and other regulatory expectations translate into day-to-day health plan operations. ### Responsibilities* Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and Affordable Care Act programs.* Interpret CMS guidance, state Medicaid contracts, regulatory communications, and other requirements to evaluate their impact on health plan operations.* Review health plan policies, procedures, reports, data, operational documentation, and other supporting materials to assess compliance with applicable requirements.* Analyze regulatory and operational issues, identify potential gaps or areas of risk, and communicate findings clearly to engagement leadership.* Develop clear, accurate, and well-supported workpapers, findings, reports, presentations, and other client deliverables.* Take ownership of defined project workstreams, including coordinating assigned activities, monitoring progress, and completing deliverables within established timelines.* Work with Project Managers and other engagement leaders to understand client concerns, define project objectives, and develop effective work plans.* Apply structured problem-solving and critical-thinking skills to complex regulatory, compliance, and operational questions.* Communicate project updates, emerging issues, and findings to engagement leadership in a timely manner.* Collaborate effectively with colleagues and client stakeholders to build and maintain strong working relationships.* Review and provide guidance on work completed by junior team members, as appropriate.* Support the successful completion of high-quality client deliverables within the desired timeframe.* Contribute to practice development, internal knowledge sharing, and the continued development of tools, methodologies, and service offerings.* Maintain the confidentiality of client information and understand the importance of privileged and confidential communications.### Qualifications* Bachelor’s degree from an accredited college or university.* Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field.* Experience working with Medicare Advantage, Medicaid managed care, Affordable Care Act programs, or other government-sponsored health care programs.* Working knowledge of CMS guidance, state Medicaid contractual requirements, and the operational processes used by health plans to implement regulatory requirements.* Experience conducting regulatory research and translating complex requirements into practical operational considerations.* Experience analyzing health plan data, policies, procedures, documentation, or operational processes.* Strong analytical, critical-thinking, and problem-solving skills.* Demonstrated ability to develop clear, concise, and well-supported written analyses and client deliverables.* Excellent written and verbal communication skills.* Ability to manage multiple assignments, establish priorities, and meet deadlines in a client-service environment.* Ability to work effectively both independently and as part of a collaborative engagement team.* Experience supporting or guiding junior team members is preferred.* Proficiency in Microsoft Excel, Word, and PowerPoint, including the ability to develop reports, workpapers, analyses, and presentations.* Willingness to travel based on client and engagement needs.### Preferred Qualifications* Consulting or professional services experience.* Experience assessing health plan compliance with regulatory or contractual requirements.* Experience with compliance audits, operational reviews, risk assessments, corrective action plans, or regulatory readiness activities.* Familiarity with multiple functional areas of health plan operations.* Experience interacting directly with clients or senior internal stakeholders.#LI-Remote #LI-NB1
- J-18808-Ljbffr Ankura
Vacancy posted 22 hours ago
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