Demo

Corporate and Regulatory Affairs Specialist

Horizon Blue Cross Blue Shield of New Jersey
Newark, NJ Full Time
POSTED ON 1/12/2025
AVAILABLE BEFORE 4/11/2025

Description

templates and other group health plan documents.

  • Perform additional tasks and lead additional work streams, from time to time and upon request, concerning the regulatory regime or corporate governance applicable to the Company’s business.

The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.

Education / Experience :

  • Bachelor's degree from an accredited college or university.
  • Paralegal certification or Juris Doctorate preferred
  • Requires a minimum of 5 years of business experience, preferably in the health insurance industry or as a health policy advisor.
  • Requires 2 years of providing regulatory guidance (analyzing and interpreting laws and regulations) or compliance experience, preferably in health care.
  • Experience with health insurance contract preparation and / or employee benefits plan drafting is preferred.
  • Knowledge :

  • Requires general business knowledge of the health insurance industry
  • Westlaw or Lexus experience preferred
  • Must be proficient in legal research
  • Prefer working knowledge of health benefits plans, state and federal laws and regulations as they apply to group contracts, federally-funded governmental healthcare programs, insurers and familiarity with state departments of Insurance and / or Health.
  • Mental Health Parity knowledge / background preferred, if relevant to position
  • Skills and Abilities :

  • Requires advanced analytical skills and the ability to present / recommend business solutions
  • Requires excellent organizational and prioritization skills
  • Requires the ability to work and communicate effectively with all levels of business, including senior and executive leadership
  • Requires excellent oral and written communication / presentation skills
  • Effective analytical & problem solving skills to propose creative solutions to regulatory needs
  • Collaborative and client service focused to effectively deliver actionable requirements and solutions
  • Must demonstrate professional and ethical business practices and adherence to company standards
  • Must demonstrate the ability to effectively present information and respond to questions from groups of managers, internal and external clients, and company customers
  • Must demonstrate the ability to learn quickly and apply learning to new situations. Must exhibit flexibility to adapt to new regulatory requirements and compliance regimes as appropriate
  • Salary Range : 86,000 - $117,390

    This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to : education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes :

    Comprehensive health benefits (Medical / Dental / Vision)

    Retirement Plans

    Generous PTO

    Incentive Plans

    Wellness Programs

    Paid Volunteer Time Off

    Tuition Reimbursement

    Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

    Salary : $86,000 - $117,390

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