Jobs → Data & Analytics → Business Regulatory Analyst

About the Role We are looking for a Business Regulatory Analyst with extensive healthcare payer experience to join our team. This role focuses on translating complex Medicaid and CMS regulations into actionable business requirements. Key Responsibilities • Analyze Medicaid and CMS regulations and translate them into business requirements • Manage Claims, Eligibility, Enrollment & Provider Management processes • Work with EDI standards including 834, 837, 835, and 270/271 • Create BRDs, FRDs, User Stories and RTMs • Participate in SIT/UAT and Agile/SAFe processes Requirements • 12+ years of Business/Regulatory Analysis experience • 10+ years of Healthcare Payer experience • Expertise in Medicaid/Medicare regulatory compliance • Strong understanding of Claims, Eligibility, Enrollment & Provider Management • Proficiency with EDI standards (834, 837, 835, 270/271) • Experience with BRDs, FRDs, User Stories, and RTMs • SIT/UAT and Agile/SAFe experience