Senior Associate, Operations Compliance

The Senior Associate plays an important role in supporting regulatory oversight of grievance and appeal processes. This position focuses on reviewing and assessing how cases are handled for fairness, timeliness, and alignment with state and federal regulations, particularly in the state of California, in addition to other states. The Senior Associate works closely with various departments to gather information, analyze case handling, and contribute to required reporting, including submissions to the California Department of Managed Health Care. This role partners with cross-functional teams to monitor trends, support audit readiness, and help ensure transparent and compliant processes. The role will support regulatory compliance by reviewing and monitoring how grievance and appeal cases are handled across states, with a focus on California standards. They will audit grievance and appeal files for completeness, accuracy, and timeliness; identify process gaps and recommend improvements, and monitor reports to ensure deadlines are met.