Drive high-quality regulatory and client communications that strengthen trust, support compliance, and improve the overall member and client experience
Serve as a subject matter expert in regulated market operations, guiding internal teams and supporting client-facing conversations with clarity and confidence
Translate CMS guidance and regulatory updates into actionable communication strategies and operational plans
Partner with Audit, PMO, and Account teams to ensure timely and effective responses to audits, RFIs, policy verifications, and compliance inquiries
Identify trends in issue tracking and performance data, using insights to improve processes, reduce risk, and enhance delivery
Lead or support key projects that improve how the team manages communications, compliance workflows, and documentation practices
Balance long-term initiatives with urgent priorities, ensuring key deliverables are met with accuracy and speed
Coordinate cross-functional efforts to align business goals, regulatory expectations, and client needs
Strengthen team performance by mentoring others, sharing best practices, and helping elevate overall team capabilities
Bring forward new ideas and approaches that improve efficiency, simplify complexity, and create better outcomes for stakeholders
Requirements
1+ year of experience in a health plan, PBM, or related healthcare environment
Strong ability to manage competing priorities and deliver quality work in a fast-paced, deadline-driven setting
Clear and confident communication skills, with the ability to simplify complex or technical information
Demonstrated problem-solving skills with a thoughtful, solutions-oriented mindset
Experience working across teams in a matrixed environment to drive results
Working knowledge of Microsoft Office tools (Excel, Word, PowerPoint)
Benefits
Health-related benefits including medical, vision, dental, and well-being and behavioral health programs