Operations Analyst, Patient Compensation Fund

Role Overview

• Independently manage and process PCF filings across multiple states.
• Identify and resolve compliance gaps, discrepancies, and potential risks.
• Maintain documentation, policies, and procedures related to PCF submissions.
• Support Legal with provider appeals, state inquiries, and SOP updates associated with legislative or regulatory changes.
• Ensure adherence to filing requirements to mitigate fines, penalties, or compliance exposure.
• Analyze and reconcile differences between surcharge filings and booked amounts.
• Assist with reconciliation activities for captive and large‑account filings.
• Prepare and validate supplemental invoices and financial documentation for brokers and internal stakeholders.
• Provide financial insights to support operational decisions and ensure alignment between billed and filed amounts.
• Serve as a liaison with Legal, Underwriting, Billing & Collections, state agencies, and external partners.
• Draft formal communications, including regulatory responses and inquiries from state entities.
• Track and report outstanding PCF items, including unmatched transactions and resolution progress.
• Provide professional, concise, and executive‑ready communication to leadership as needed.
• Act as a subject‑matter expert (SME) on PCF processes, metrics, and performance baselines.
• Provide guidance and informal coaching to Processing Specialists to ensure accuracy and compliance with established procedures.
• Support operational workflow by validating that work items are properly documented and completed.
• Manage multiple state filing cycles concurrently while maintaining compliance with all deadlines.
• Support annual renewal cycles, special initiatives, and complex filing projects.
• Maintain accurate and organized documentation within SharePoint, DMF, and other internal systems.

Requirements

• Bachelor's Degree or equivalent work experience and completion of applicable professional designations.
• Minimum two years related experience including previous project experience.
• Preferred: Experience with PCF filings or comparable regulatory programs.
• Background in insurance operations, underwriting support, or financial compliance.
• Experience interpreting regulatory guidelines or legal documentation.
• Strong analytical and problem‑solving skills with demonstrated ability to exercise independent judgment.
• Experience working in a compliance‑driven, regulatory, legal, financial, or insurance environment.
• High level of accuracy and attention to detail, with the ability to identify and resolve discrepancies.
• Strong written and verbal communication skills, including experience preparing formal correspondence.
• Ability to collaborate cross‑functionally and influence outcomes without direct authority.
• Excellent organizational skills with the ability to manage multiple priorities.
• Proficiency in Microsoft Office.

Benefits

• CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals.