Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Regulatory Operations Analyst III

Business AnalystBusiness AnalystFull TimeRemoteMid LevelTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 days ago

Salary

$70.1K - $126.2K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Regulatory Operations Analyst III

Centene Corporation

Role Description You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. This role is remote for candidates located in the State of Oregon only with some potential travel to our Salem office. - Reviews, interprets and summarizes proposed and enacted legislation and regulatory updates to the business as a subject matter expert on various complex topics. - Monitoring OAR Changes: - Tracking proposed changes to Oregon Administrative Rules (OAR). - Keeping subject matter experts (SMEs) updated and collecting feedback throughout the process. - Engaging in Rule Advisory Committees (RACs). - Supporting the submission of written feedback to the Oregon Health Authority (OHA). - Acting as the business owner for the RLI (Regulatory Legislation Implementation) process. - Annual Contract Restatement: - Supporting the end-to-end process for the annual contract restatement. - Monitoring all changes from the initial proposal through contract finalization and implementation. - Attending related meetings and collaborating with the project manager to track implementation status. - Identifying and escalating risks to the Executive Sponsor. - Analyzing contract amendments as they occur throughout the year. - OHP Contractor Workgroups: - Attending key meetings and sharing topics in advance. - Distributing information afterward. - Responding to Requests for Information (RFIs) resulting from these meetings. - Bringing SMEs together as needed to discuss pertinent topics. - DFR Meetings: - Supporting monthly Division of Financial Regulation (DFR) meetings by attending and organizing follow-ups. - Acting as the primary contact for rules, bulletins, and expectations. - Managing communications and ensuring compliance with regulatory requirements. - Performs other duties as assigned. - Complies with all policies and standards. Qualifications - Demonstrated ability to build and maintain effective working relationships with state regulators, particularly the Oregon Health Authority (OHA). - Strong technical understanding of Medicaid policy, administrative rules, and regulatory guidance; prior experience working at or with OHA is a plus. - High level of attention to detail and strong organizational skills to manage complex regulatory requirements and timelines. - Ability to translate highly technical regulatory and policy language into clear, plain-language guidance and actionable recommendations for internal collaborators. - Proven ability to thoughtfully and effectively advocate for regulatory clarifications or changes when appropriate. - Strong compliance mindset, with experience ensuring organizational practices align with regulatory and contractual requirements. Requirements - Bachelor's degree in business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required. - Master's Degree in a related field, Juris Doctorate degree may be considered in place of experience preferred. - 4+ years experience in health insurance, legal, compliance or related field required. - Experience reviewing regulations and providing interpretation using terms appropriate for the audience preferred. - Experience in commercial health insurance and/or behavioral health managed care preferred. Benefits - Competitive pay. - Health insurance. - 401K and stock purchase plans. - Tuition reimbursement. - Paid time off plus holidays. - Flexible approach to work with remote, hybrid, field or office work schedules.

Related Categories

Related Job Pages

More Business Analyst Jobs

ContractRemoteTeam 1,001-5,000Since 2010H1B No Sponsor

Role Description As an Business Supply Intern, you will play a pivotal role in data analysis on basis requirements, working on improving the content for global chains, and pricing checks. This is a remote position open to candidates residing in Egypt. - Analyze and review operational and performance reports to support business decision-making. - Assist the team with data analysis, reporting, and day-to-day operational tasks. - Support strategic initiatives by helping manage administrative and operational activities. - Maintain and update Excel-based trackers, reports, and datasets. - Identify opportunities to improve processes and reduce manual operational workload. - Collaborate with internal teams to ensure data accuracy and timely reporting. - Prepare summaries, insights, and documentation for internal use. - Provide general business and analytical support to the Chains & Switch Platform team. Qualifications - Strong and humble personality, able to interact with diverse and multicultural groups of people in remote and geographically dispersed organizations. - Strong quantitative skills: highly proficient in MS Excel and GSheet. - Business acumen & hypothesis-driven thinking: able to understand the business process, critically look at the numbers and formulate hypotheses to test. - Language knowledge: Fluent in English, other languages are a plus. - Analytical skills: Used to data-driven decision-making, metrics-driven and good with numbers. - Personal skills: Proactive, ambitious, motivated, action-oriented, results-focused, appetite for innovative technology, comfortable with the fast-changing business environment, team player. - Knowledge in B2B software industry; travel industry is a plus. Benefits - Flexible schedules and opportunity to work remotely. - Ambitious and supportive team who love what they do, appreciate each other, and grow together. - Internal programs for adaptation and training, development of soft skills, and leadership abilities. - Partial compensation for participating in external training and conferences. - Corporate English school: Group and individual lessons, speaking clubs with colleagues from all over the world. - Corporate prices on hotels and travel services.

Egypt
Viseven logo

Business Analyst – Freelance

Viseven

Global MarTech Services Provider for the Life Sciences Industry

ContractRemoteTeam 501-1,000Since 2012H1B No Sponsor

• Проактивно взаємодіяти з ключовими внутрішніми та зовнішніми стейкхолдерами для глибшого розуміння бізнес-викликів. • Аналізувати та збирати бізнес-вимоги, трансформуючи їх у технічні вимоги. • Координувати взаємодію з консультантами рішень, UX/UI дизайнерами та власниками продукту. • Відповідати за підготовку технічних вимог протягом життєвого циклу розробки програмного забезпечення (SDLC). • Ініціювати та координувати взаємодію з колегами для підвищення якості.

Ukraine
Capco logo

Business Analyst - Credit Risk (She/He/They)

Capco

Capco, a Wipro company, is a management & technology consultancy dedicated to the financial services & energy industries

Full TimeRemoteTeam 1,001-5,000Since 1998H1B Sponsor

CAPCO POLAND Capco Poland is a leading global technology and management consultancy dedicated to facilitating digital transformation within the financial services sector. Our commitment lies in empowering our clients to thrive in a dynamic and evolving industry. We are also: - Specialists in banking and payments, capital markets, as well as wealth and asset management - Focused on preserving our agile, entrepreneurial culture - Dedicated to expanding our business and attracting top talent to support our growth About the Role ( hybrid model 2 x week Kraków office)We are seeking an experienced Business Analyst with strong Credit Risk and Banking domain expertise to support strategic regulatory, risk transformation, and lending initiatives. The ideal candidate will work closely with Risk, Finance, Technology, Operations, and Business stakeholders to gather requirements, analyze processes, and deliver solutions supporting credit risk management across wholesale and/or retail banking portfolios. This role is ideal for someone with experience in global banking environments and exposure to regulatory frameworks, credit risk systems, and large-scale transformation programs. Key Responsibilities - Gather, analyze, and document business and functional requirements related to Credit Risk processes and systems - Work with stakeholders across Risk, Finance, Operations, and Technology to define target operating models and business solutions - Support implementation of regulatory and risk transformation initiatives including Basel, IFRS9, IRB, stress testing, and credit lifecycle processes - Conduct gap analysis, impact assessments, and process mapping for system and business changes - Facilitate workshops, stakeholder meetings, and requirement validation sessions - Translate business requirements into user stories, process flows, and functional specifications - Collaborate with development and testing teams during SDLC and UAT phases - Support data analysis and reporting activities related to credit exposure, risk metrics, and portfolio performance - Ensure solutions comply with internal governance, regulatory requirements, and risk policies - Assist in change management, implementation planning, and post-production support activities Required Skills & Experience - 5+ years of Business Analyst experience within Banking or Financial Services - Strong understanding of Credit Risk concepts and processes - Experience with: - Wholesale Credit Risk / Counterparty Credit Risk / Retail Credit Risk - Basel regulations, IRB approaches, IFRS9, stress testing, or capital calculations - Credit risk data, reporting, and regulatory requirements - Experience working on large-scale banking transformation or regulatory programs - Strong stakeholder management and communication skills - Ability to work in Agile and/or Waterfall delivery environments - Experience creating: - BRDs - FRDs - User Stories - Process Maps - Gap Analysis documents REASONS TO JOIN US - Opportunity to work remotely - Daily use of English, primarily in interactions with international stakeholders and colleagues - Provision of necessary IT equipment - A flat, non-hierarchical structure that facilitates direct collaboration with senior partners and clients - A work culture that prioritizes innovation and the creation of lasting value for both our clients and employees ONLINE RECRUITMENT PROCESS STEPS - Initial screening call with the Recruiter - Competencies interview with the Capco Hiring Manager - Client interview - Feedback/Offer #LI-HYBRID

Poland
RemotePro.ph logo

Business Automation Analyst

RemotePro.ph

We are a US-based IT services firm with a consistently growing and fully remote PH team.

Full TimeRemoteTeam 51-200Since 2013H1B No Sponsor

Role Description If your first instinct when doing something manually is “this shouldn’t be manual” — keep reading. You’re not here to maintain spreadsheets. You’re here to question why the spreadsheet exists — and build the system that makes it unnecessary. We’re looking for a Business Automation Analyst who sees manual work as a problem to be solved, not a process to be managed. You’ll analyze how work gets done across the business, identify what’s slow, repetitive, or error-prone, and build the systems that fix it permanently. Python, advanced Excel, AI-powered workflows, and smart automation tools are your toolkit. The outcome is a business that runs faster, reports more accurately, and depends less on manual effort over time. Qualifications - Strong Python programming skills - Advanced Excel expertise (required) - Solid experience with SQL and database querying - Hands-on experience with AI tools and workflow automation platforms - Experience with Zapier, Make, n8n, Power Automate, or similar tools - Strong diagnostic skills - Natural systems thinker - Self-directed once you understand the environment - Honest communicator - Long-term mindset Requirements - Mapping workflows that rely on human hands and asking which ones shouldn’t — then building the automations that replace them - Building Python scripts, data pipelines, and AI-powered workflows that turn hours of manual work into something that runs itself - Creating Excel models and dashboards that give leadership accurate, real-time visibility - Digging into messy, multi-source datasets and producing clean, reliable outputs - Documenting everything you build so clearly that someone else could maintain it - Sitting with teams, understanding how they actually work, and translating that into automation solutions - Continuously looking for the next thing to improve Benefits - Permanent Work from Home - Competitive Salary - HMO - Mental health programs - Maternity Assistance thru HMO - Paid Vacation Leave - Technology Allowance - Internet Allowance - Weekly Payout - Career growth and advancement

Philippines