Regulatory and Functional Requirements Analyst

This role is responsible for the accurate and timely intake and interpretation of regulatory and functional requirements related to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. The position involves coordinating with stakeholders and subject matter experts, facilitating user acceptance testing, and ensuring alignment with regulatory baselines and health plan requirements. The analyst communicates requirement interpretations to health plans and corporate functional areas, providing support for inconsistencies and ensuring compliance-based issues are reviewed for benefit planning.