Healthcare Regulatory Analyst

3 days ago


Anantapur, Andhra Pradesh, India beBeeCompliance Full time ₹ 15,00,000 - ₹ 25,00,000
Job Description

Gather, analyze and document business requirements related to healthcare regulations. Ensure system changes, processes and documentation remain compliant with healthcare laws and payer guidelines.

Required Skills & Qualifications

HIPAA Compliance Expertise: Proficient in navigating HIPAA, CMS, NCQA and state-specific regulations.

Benefit Analysis: Skilled in analyzing and configuring benefit codes for medical, dental, pharmacy and specialty products.

Collaboration: Experienced in working with product and IT teams to ensure accurate coding, claims adjudication and eligibility processing.

Benefits

Opportunities: Partner with marketing and compliance teams to ensure content accuracy and timely delivery.

Versioning & Approvals: Track versioning and approvals of collateral to maintain consistency across all distribution channels.

Others

Regulatory Alignment: Collaborate with compliance and legal teams during audits or regulatory updates.


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