Senior Regulatory Affairs Specialist

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

Mitchell is seeking a Regulatory Affairs Specialist to join its Regulatory Affairs Compliance team. In this role you will be primarily responsible for monitoring regulatory activities of Workers’ Compensation and PIP No-Fault fee schedules applicable to medical bill review. In addition to monitoring fee schedule changes, legislative and regulatory changes to state reporting, eBilling etc. will also be monitored. We are seeking candidates who will, under regular supervision, communicate with regulatory entities and vendors via telephone, email, and in writing regarding Workers Compensation and Auto PIP fee schedule and legislative changes. Duties include obtaining regulations and/or legislative changes, notify and distribute information to the appropriate development and implementation teams, and regularly provide needed information to the various departments within the company. Candidates should demonstrate the ability to perform research and analysis on all related topics, and maintain documentation pertaining to such.

Duties and Responsibilities:

• Contact state entities/vendors via telephone, email or, in writing regarding all state fee schedule and legislative changes, monitor jurisdictional websites for changes.
• Research and obtain fee schedule updates, reporting, and eBilling changes to the appropriate parties in a time-sensitive fashion. Store the changes in a central repository.
• Use company-provided tools to monitor state web sites and review the updated information to determine if changes are needed for implementation and compliance of the Mitchell products (SmartAdvisor etc.)
• Build relationships with the state contacts or vendors.
• Perform research using the state documentation and web sites, and obtain information pertaining to fee schedule, state reporting, PPO legislation, EOB, eBilling changes etc.
• Contribute documentation and articles for the company’s monthly customer newsletter compliance communications.
• Research and complete research projects on various industry topics.
• Maintain and post internal documents on the company intranet.
• Gather and coordinate quarterly reporting numbers for outside vendors.
• Handle purchase orders for compliance-related information.
• Compile research information and all outside communication on various research topics to store in a central repository.
• Provide answers to questions from internal staff regarding state regulatory/legislative research changes.
  
  
  

Required Knowledge And Abilities

• The ability to write clear and concise documentation.
• The ability to perform extensive research using the Internet, company tools and through contacting state officials.
• The ability to use applications to perform research.
• Must have professional phone skills.
• A research background is a plus as well as a background in either healthcare or bill review.
• Knowledge and use of Word, Excel, Azure DevOps and Salesforce.
• Use of search engine tools.
  
  
  

Physical Requirements For Essential Functions

• Must be able to work eight hours a day, sit for long periods during the day;
• Type or work at a keyboard most of the day;
• View a computer monitor for long periods of time while reading online statutory and rule language;
• The ability to speak on the telephone with state entities\vendors in a professional manner.
  
  
  

Qualifications

Education, Training and Experience

• Bachelor's degree preferred
• 5 years of industry experience with a background in workers’ compensation, healthcare, managed care or bill review.
  
  
  

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $52,000 - $75,000 annually, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

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