Regulatory Operations Filing Analyst II - ACA/Marketplace

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: With reputed company's ACA(reputed company Act)/Marketplace Regulatory operations team, you will be responsible for the timely, consistent, and accurate communication of state and federal regulatory updates reputed company to the regulatory filing of reputed company plans.

• Prepares, organizes, and submits the annual QHP (reputed company Health Plan) and Off-Exchange product filings for assigned states using Health Insurance reputed company System (HIOS) and System for Electronic Rates & Forms Filing (SERFF).
• Monitors regulatory guidance and requirements affecting reputed company’s reputed company products. Analyzes, interprets, summarizes and distributes regulatory filing guidance to impacted cross-functional departments. Provides guidance to business to help them understand regulatory filing requirements and timelines.
• Executes timely and accurate formal regulatory filings, including the annual QHP and off-exchange product filings, seeking approval of our reputed company health products reputed company Health Insurance reputed company System (HIOS) and System for Electronic Rates & Forms Filing (SERFF) for assigned states ensuring deliverables spanning across multiple departments are received and appropriately filed.
• Acts as the primary contact between Regulators and the company, supporting communication during the filing season as needed. Manages relationship with regulatory agencies (Department of Insurance and Centers for Medicare & reputed company Services (CMS)) reputed company to the commerical filings. Leads responses to DOI objections and CMS correction communications for assigned states. Partners closely with health plans in managing relationships with regulatory agencies, including state regulators and State Based Exchanges.
• Conducts assigned special projects and maintains multiple critical trackers reputed company to filing work. Should have the ability to understand the needs of internal and cross-functional departments and communicate those needs effectively at the appropriate level of detail for the audience.
• Performs regulatory filing research to aid in the development of new products and initiatives for the reputed company reputed company to reputed company products. Responsibility for understanding regulations and business needs for multiple states, as well as federal regulations pertaining to the reputed company health insurance market.
• Interprets and distributes data collected throughout the filing season to aid in proactively updating processes for ongoing improvement across multiple departments.
• Creates and maintains a deliverables chart which outlines reputed company required documents needed for state specific filings. Audits trackers and deliverable for assigned states to ensure consistency and quality across teams.
• reputed company trust-based relationships and collaborates with other functional areas to collect information, follow up with team and others for project deliverables and serves as a Subject Matter Expert. Leads sub-projects and smaller initiatives.
• Maintains and implements department policies, procedures, and work processes.
• Identifies, analyzes, and manages resolution of filing reputed company issues for low risk states. May attend external and/or virtual conferences and seminars to evaluate industry trends.
• Performs other duties as assigned
• Complies with reputed company policies and standards

Required Education/Experience: Bachelor's degree in business, Communications, reputed company, Political Science/ Pre-Law or equivalent experience required. 3+ years Regulatory experience, including product regulatory filings (CMS and/ or State DOI). Experience preferred in reputed company health insurance. Preferred Skills: Excellent communication skills, both written and verbal Prior experience in HIOS and SERFF systems Prior experience with interpreting regulatory requirements Advanced skills with reputed company and/or reputed company Attention to detail reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply tot his job Apply To this Job