Senior Associate, Government Programs Compliance, Regulatory

Ankura

. Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and Affordable Care Act programs .

Posted 10/9/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in regulatory compliance and health plan operations, with a strong ability to analyze complex requirements and develop clear client deliverables. Proficient in managing multiple projects while ensuring adherence to timelines and quality standards.

Highest-signal resume keywords

Regulatory ResearchHealth Plan ComplianceCMS Guidance InterpretationAnalytical Problem-SolvingClient Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory AnalysisHealth Plan OperationsCompliance AuditsOperational ReviewsRisk AssessmentsCorrective Action PlansData AnalysisPolicy ReviewProject ManagementDocumentation Assessment

Soft Skills

Critical ThinkingWritten CommunicationVerbal CommunicationCollaborationTime Management

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

Medicare AdvantageMedicaid Managed CareAffordable Care ActHealth Plan ComplianceGovernment-Sponsored Health Care Programs

About the role

Key responsibilities & impact

Conduct research and analysis of federal and state regulatory requirements applicable to Medicare Advantage, Medicaid managed care, and Affordable Care Act programs
Interpret CMS guidance, state Medicaid contracts, regulatory communications, and other requirements to evaluate their impact on health plan operations
Review health plan policies, procedures, reports, data, operational documentation, and supporting materials to assess compliance
Analyze regulatory and operational issues, identify potential gaps or risks, and communicate findings to engagement leadership
Develop workpapers, findings, reports, presentations, and other client deliverables
Own defined project workstreams, coordinate assigned activities, monitor progress, and complete deliverables within established timelines
Work with Project Managers and engagement leaders to understand client concerns, define project objectives, and develop work plans
Apply structured problem-solving and critical-thinking skills to complex regulatory, compliance, and operational questions
Communicate project updates, emerging issues, and findings to engagement leadership
Collaborate with colleagues and client stakeholders
Review and provide guidance on work completed by junior team members, as appropriate
Support high-quality client deliverables within the desired timeframe
Contribute to practice development, internal knowledge sharing, tools, methodologies, and service offerings
Maintain confidentiality of client information and understand privileged and confidential communications

Requirements

What you’ll need

Bachelor’s degree from an accredited college or university
Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field
Experience working with Medicare Advantage, Medicaid managed care, Affordable Care Act programs, or other government-sponsored health care programs
Working knowledge of CMS guidance, state Medicaid contractual requirements, and health plan operational processes
Experience conducting regulatory research and translating complex requirements into practical operational considerations
Experience analyzing health plan data, policies, procedures, documentation, or operational processes
Strong analytical, critical-thinking, and problem-solving skills
Ability to develop clear, concise, and well-supported written analyses and client deliverables
Excellent written and verbal communication skills
Ability to manage multiple assignments, establish priorities, and meet deadlines in a client-service environment
Ability to work independently and as part of a collaborative engagement team
Proficiency in Microsoft Excel, Word, and PowerPoint
Willingness to travel based on client and engagement needs
Consulting or professional services experience preferred
Experience supporting or guiding junior team members preferred
Experience assessing health plan compliance with regulatory or contractual requirements
Experience with compliance audits, operational reviews, risk assessments, corrective action plans, or regulatory readiness activities
Familiarity with multiple functional areas of health plan operations
Experience interacting directly with clients or senior internal stakeholders

Benefits

Comp & perks

Affirmative Action and Equal Opportunity Employer
Reasonable accommodation available for applicants with disabilities