Compliance Analyst
ABOUT THE ROLE
Bright Health’s compliance team ensures sound regulatory practices throughout our organization and oversees the core functions of the company’s business. As a Regulatory Product Compliance Analyst, you will assist in the establishment of compliant health plans for Individuals and Employer Groups, and assist in the implementation of these plans across the organization and with the company’s care partners and vendors.
YOUR RESPONSIBILITIES
- Create, maintain and publish plan and benefit materials based on regulatory requirements and product lifecycle deadlines
- Technical writing of, and revisions to, policy forms to ensure compliance with regulatory standards and developments
- Track regulatory filings through SERFF, CMS Enterprise Portal, and other applicable filing systems
- Develop test scenarios and sample explanations for, and conduct benefits and rates communications with, distribution partners including the state and federal marketplaces, Bright’s distribution marketplace, and other external marketplaces
- Participate in research and strategic development of benefit plans
- Alert project managers to potential risks and issues of importance
- Implement process improvement measures
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
- Bachelor's Degree or equivalent work experience required
- Exposure to and demonstrated knowledge of health insurance products, including ACA-compliant individual plan products
- Experience in defining and presenting short term and long-term deliverables
- Previous experience in developing and overseeing end to end cross functional implementation plans (e.g. launches) and working with cross functional teams
- Knowledge of the CMS Qualified Health Plan application process is preferred
PROFESSIONAL COMPETENCIES
- Demonstrated ability to simultaneously manage multiple projects in parallel and manage a wide array of internal and external stakeholders
- Strong technical writing skills
- Attention to detail; trusted to communicate with partners internally and externally
- Strong analytical skills
- Ability to prioritize and change priorities as necessary
- Willingness to learn and operate in ambiguity
- Desire to learn and navigate the complexities within the US healthcare system
KEY ATTRIBUTES
- You are a self-starter and do well with autonomy
- You have a strong bias toward action, and always operate with a high degree of urgency and integrity
- You are brave and challenge the status quo but are also respectful and have an open mind
- You enjoy collaboration, problem solving, and are an effective team member
ABOUT US
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
We’re Making Healthcare Right. Together.
We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
BRIGHT ON!