Regulatory Risk & Compliance - Health Industries - Payer Compliance - Senior Associate
pwcCoatesville, PA
Regulatory Risk & Compliance - Health Industries - Payer Compliance - Senior Associate
pwcCoatesville, PA
today
Industries
Other Management Consulting ServicesAdministrative Management and General Management Consulting ServicesOther Scientific and Technical Consulting ServicesAbout the role
Overview:
In this Senior Associate role, you will help health payer organizations navigate regulatory requirements and strengthen compliance programs. You will analyze complex regulatory issues, develop workstreams, and translate obligations into practical guidance. You will collaborate with cross-functional teams, support junior staff, and contribute to risk governance and control assessments. This position offers hands-on impact on payer compliance strategy and a chance to grow technical and client-management skills. You will work in a dynamic, client-facing environment that emphasizes clear communication and practical results. Compensation / Benefits medical dental vision 401k holiday pay vacation
Responsibilities:
Analyze payer compliance requirements and translate regulations into client deliverables Review policies, procedures, and controls to identify gaps and support remediation Interpret healthcare regulatory developments and adapt compliance strategies Develop workstreams for risk, governance, and control assessments in payer environments Prepare compliance summaries, issue logs, and leadership materials Use data analysis to identify trends, exceptions, and potential exposures Design and maintain compliance programs, reporting, and monitoring Collaborate with client teams to validate findings and track actions Guide junior team members on tasks, feedback, and deliverables Build client relationships by addressing questions and communicating progress
Key requirements:
Bachelor's degree or higher At least 3 years of experience Experience in payer compliance within health industries Familiarity with regulatory risk, governance, and internal controls Ability to interpret healthcare regulations and compliance requirements Strong data-driven approach to supporting recommendations Proven client-focused communication across diverse stakeholders Mentoring junior team members and navigating ambiguity client-focused communication mentoring junior team members cross-functional collaboration regulatory risk and compliance data analysis and interpretation governance and internal controls
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JOB OVERVIEW
Experience level
Lead
Location
Coatesville, PA
Occupation
Compliance Managers
Industry
Other Management Consulting Services
Posted
today
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