Jobs → Data & Analytics → Business Regulatory Analyst

About the Role We are seeking Business Regulatory Analysts to support state-mandated regulatory and compliance initiatives across Medicaid and healthcare payer operations. This role will translate complex regulatory requirements into actionable business and system requirements, ensuring traceability from regulatory intent through implementation and validation. Key Responsibilities • Analyze and interpret state-specific Medicaid regulations, CMS guidance, and health-plan requirements • Assess regulatory impacts across business processes, applications, data, integrations, and reporting • Partner with compliance, legal, product, and business stakeholders to clarify regulatory intent • Develop regulatory impact assessments and implementation recommendations • Elicit, document, and manage business, functional, system, integration, and data requirements • Create and maintain BRDs, FRDs, user stories, business rules documentation, process flows, and requirements traceability matrices • Ensure end-to-end traceability from regulatory mandate through development, testing, deployment, and audit validation • Support initiatives involving claims processing, member eligibility, prior authorization, provider data, regulatory reporting, EDI, healthcare integrations, and health-plan-specific compliance enhancements • Manage backlog remediation and technical debt items related to prior regulatory releases • Collaborate with business stakeholders, compliance teams, product owners, solution architects, development teams, data teams, quality engineering teams, and release support teams Requirements • Experience with Medicaid and healthcare payer operations • Strong understanding of regulatory requirements and compliance processes • Ability to translate complex regulatory requirements into actionable business and system requirements • Experience with requirements documentation and traceability • Knowledge of claims processing, eligibility, prior authorization, and regulatory reporting • Familiarity with EDI, healthcare APIs, and integration processes • Excellent analytical and problem-solving skills • Strong communication and collaboration abilities