Abarca Health is hiring a
Regulatory Compliance Analyst

Summary

Join Abarca as a Regulatory Compliance Analyst and be responsible for ensuring business operations are compliant with state and federal regulatory requirements. You will support the Regulatory Compliance Team in executing Abarca's Regulatory Change Management Process, including regulatory trainings, Policies & Procedures management, and regulatory consults.

Requirements

• Bachelor, Law Degree, or Master’s Degree in Health Services Administration, Public Health, Health Evaluation or related field (In lieu of a degree, equivalent, relevant work experience may be considered.)
• 3+ years experience in Healthcare Compliance and/or regulatory management role
• Computer proficiency, knowledge of Microsoft Office products, and Internet experience
• Strong understanding of industry processes, healthcare regulations, and PBM Operations
• Excellent oral and written communication skills

Responsibilities

• Ensure that business operations and procedures are compliant with all state and federal regulatory requirements and abide by State Medicaid Plans as applicable to Abarca
• Support the Regulatory Compliance Team in executing Abarca’s Regulatory Change Management Process, including regulatory trainings, Policies & Procedures management, and regulatory consults
• Evaluate compliance regulations and guidance, support operational areas in the implementation and documentation of new requirements, and research and respond to regulatory consults
• Act as a consultative figure to our clients on regulatory topics, addressing possible changes to delegated services and regulatory questions stemming from potential audit concerns

Benefits

Flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only)