Client Implementation Legislation Analyst

Accountabilities:

• Conduct ePro and CIT reviews to verify that applicable legislative requirements have been accurately incorporated into client implementations.
• Create ET variations within ePro relating to pharmacy benefits and eligibility requirements.
• Support implementation managers by providing guidance on plan design, plan interpretation, administration, and legislative considerations.
• Develop Benefits & Compliance (B&C) legislation reports for downstream partners and ensure they are accurate, complete, and properly maintained.
• Serve as a legislation subject matter expert for downstream partners and offshore legislation teams, providing guidance and resolving questions as needed.
• Provide legislative leadership and support for implementation projects, helping teams understand and address compliance requirements.
• Identify, document, and communicate issues that could create delays or risks during client implementation.
• Maintain legislation reports and supporting documentation in accordance with established document-storage and quality processes.
• Participate in end-to-end audits to identify discrepancies and potential disconnections within claims systems.
• Maintain departmental quality and performance standards while managing multiple priorities and client expectations.
• Collaborate with matrixed teams and internal partners to investigate issues, develop practical solutions, and support successful implementation outcomes.

Requirements:

• High school diploma or GED required.
• At least 2 years of experience with healthcare administrative capabilities, preferably including benefits, eligibility, identification cards, or customer service operations.
• At least 2 years of experience working with matrixed partner relationships and resolving complex issues collaboratively.
• At least 2 years of experience working with multiple software and system-based applications, including databases and spreadsheets, preferred.
• Strong proficiency with Microsoft Office, particularly Excel, Outlook, and Word.
• Knowledge of healthcare legislation and compliance requirements is preferred.
• Strong analytical and problem-solving abilities, with the capacity to identify discrepancies, assess their impact, and determine appropriate solutions.
• Excellent verbal and written communication skills, with the ability to interact effectively with stakeholders across different organizational levels and functions.
• Strong organizational and time-management skills, with exceptional attention to detail.
• Ability to independently manage competing priorities, divergent requirements, and client expectations while working toward mutually acceptable solutions.
• Comfortable working in a remote environment and maintaining reliable internet connectivity through cable broadband or fiber service with minimum speeds of 10 Mbps download and 5 Mbps upload.

Benefits:

• Competitive hourly compensation of approximately $21–$32 per hour, depending on experience, qualifications, and geographic location.
• Eligibility to participate in an annual bonus plan.
• Fully remote work opportunity within the United States.
• Medical, dental, and vision coverage available from the first day of employment.
• Well-being and behavioral health programs supporting whole-person health.
• 401(k) retirement savings plan.
• Company-paid life insurance.
• Tuition reimbursement.
• At least 18 days of paid time off per year.
• Paid holidays and leaves of absence.
• Comprehensive employee benefits designed to support health, financial security, and overall well-being.
• Equal opportunity workplace with reasonable accommodations available for qualified applicants.