Regulatory Performance Analyst
Company: Dale WorkForce Solutions
Location: Philadelphia
Posted on: February 26, 2026
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Job Description:
Job Description Title: Regulatory Compliance Analyst Location:
Philadelphia PA, in the office 3x per week Type: Contract with
potential to hire Summary: As a Regulatory Compliance Analyst, you
will identify, document, and track the resolution of compliance
issues in operational performance areas (e.g. billing, enrollment,
claims) of a major health insurance issuer. You will also research
state and federal laws relating to the Affordable Care Act,
providing key insights to guide our operations. We are looking for
a highly independent professional with a knack for research,
analysis, and adaptive problem solving. A legal background is a
significant plus for success in this position. Key
Responsibilities: Regulatory Analysis: Interpret and analyze
federal and state regulatory requirements, providing clear
regulatory guidance to operational teams and ensuring effective
implementation of new laws and regulations. Corrective Action Plan
(CAP) Tracking: Leverage compliance tracking software to document
CAPs and develop remediation plans, ensuring alignment with
regulatory standards. Maintain regular updates on disclosed issues.
Operational Collaboration: Work closely with business areas to
address compliance gaps, ensuring that they are taking appropriate
ownership of any CAPs under their purview, thoroughly analyzing
root cause, providing evidence remediation, and documenting updated
processes in policies and procedures. Proactive Monitoring: Analyze
indicators, identify trends, and monitor potential compliance
risks, escalating issues and driving resolution as needed.
Qualifications: Education & Experience: Bachelor’s degree or
equivalent work experience, with a minimum of 3 years in managed
care, health care, or related field. Preferred Background:
Experience in compliance and familiarity with health insurance
operations and regulations (especially the Affordable Care Act). A
JD or legal research experience are both highly advantageous.
Exceptional organizational, verbal, and written communication
skills; proficiency in Microsoft Office (especially Outlook, Teams,
Word, Excel); familiarity with Citrix; adaptability to new
technology, and the ability to work independently in a fast-paced
environment are all musts.
Keywords: Dale WorkForce Solutions, Philadelphia , Regulatory Performance Analyst, IT / Software / Systems , Philadelphia, Pennsylvania
