Remote New

Regulatory & Group Exam Analyst

Delta Dental of California
$55,000 - $116,900
paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States
Apr 25, 2026
JOB DESCRIPTION This position is responsible for the overall success of assigned external audits initiated by state/federal regulatory agencies, the Delta Dental Plans Association, and group clients (Medicare/Medicaid/Medical Partners and Commercial groups). The role partners with key stakeholders to perform verification of external audit findings and validation/closure of external audit corrective action plans in an effort to anticipate gaps in regulatory or contractual compliance, fines, and sanctions. In addition to being the organization's core advocate throughout the external audit process, other responsibilities include collaborating with internal business partners to ensure responses to external audit requests, inquiries, and findings adequately and comprehensively meet expectations. RESPONSIBILITIES Serves as the principal point of contact and advocate for the Company for external audits initiated by state or federal regulatory agencies and group clients. Leads external audit kick-off and closing meetings with regulatory examiners and group client auditors and ensures the right participants are engaged to help drive the appropriate outcomes. Analyzes applicable regulatory mandates and group contract obligations in relation to external audit information requests, collaborates with subject matter experts on interpretation and requirements, and prepares for timely hand-off to business partners. Advises and proposes options to internal stakeholders on the development of responses to external audit findings and manages the external submission (ensuring requirements are met) to the regulatory examiner or group client auditor. Analyzes proposed external audit findings received from regulatory examiners and group client auditors against the external audit scope, and formalizes communication with internal stakeholders for operational analysis and validation. Engages appropriate Legal Affairs and Policy Division resources regarding potential legal and compliance (regulatory and contractual) issues identified or anticipated in external audits. Assesses trends in external audit findings and alerts internal stakeholders of potential enforcement and/or liability issues. Manages the communication and advocacy of all external audit finding dispute/rebuttal with regulatory examiners and group client auditors. Ensures quality documentation for external audits are adequately maintained in the GRC system and that the record is closed upon completion. QUALIFICATIONS 2+ w/Bachelor's degree Excellent communication skills with a customer-centric approach when interacting with stakeholders (internal and external) Detail-oriented with strong analytical and problem-solving skills Understands process flows and can identify roadblocks and devise solutions to improve processes Strong organizational and time management skills, including the ability to prioritize and manage duties to meet goals and deadlines Aptitude to learn and develop proficiencies with new concepts, legal requirements, processes, and technology Effectively able to adapt to change and be comfortable handling risk and uncertainty Ability to maintain confidentiality when exposed to sensitive information Knowledge of Microsoft Office programs, i.e. Word, Excel, Outlook etc. Strong working knowledge of health insurance (including Medicare/Medicaid) terminology, processing concepts, policies, guidelines, and systems Knowledge of governance, risk, and compliance (GRC) tools Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $55,000 - $116,900 ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: Competitive base and incentive pay 401(k) with robust matching and non-matching contributions Rich medical & pharmacy benefits 100% employer-paid dental and vision benefits Holistic wellbeing program with deep financial incentives Generous paid time off plus 12 paid holidays and your birthday off Culture of growth and learning: career development; tuition reimbursement; recognition program Family support: adoption assistance, fertility treatment, child, elder & pet care assistance Social responsibility and volunteer opportunities Employee discount program Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A. #LI-Hybrid ABOUT THE TEAM Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies. Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, Hawaii, Maine, Nebraska, New Hampshire, North Dakota, Oklahoma, Vermont, West Virginia, Wyoming, Washington DC, Puerto Rico or other US Territories or outside of the United States at this time.