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  • Business Operations (15)

Experienced / Business Operations Remote Health Care Administration Jobs

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  • Consumer Protection Compliance Analyst

    Conduct risk-based vendor compliance testing and communicate findings to leadership Develop tools and dashboards to enhance compliance culture and monitor compliance activities Required Qualifications Associate or Bachelor's Degree in Business, Health...Care Administration, or related field preferred Two to four years of compliance or revenue cycle professional experience preferred Proficiency in Microsoft Excel, Word, PowerPoint, and/or Business Intelligence applications Ability to work independently

    Compliance Analysis Data Analysis Reporting Solutions Dashboard Development
  • Pharmacy Vendor Manager

    compliance with SLAs and regulatory requirements Monitor vendor performance through data analysis, addressing potential issues proactively and overseeing corrective actions Required Qualifications: Minimum of a professional bachelor's degree in Company...care administration, public Company, or a related field Minimum of 3 years of experience in a managed care setting, preferably from provider, payer, or PBM perspectives Strong background in pharmacy benefits management or healthcare contract management

    Contract Negotiations Regulatory Compliance Data Analysis Strategic Reporting
  • Regulatory Operations Analyst

    Juris Doctorate preferred 4+ years of experience in health insurance, legal, compliance, or related field required Experience in reviewing regulations and providing interpretations preferred Experience in commercial health insurance and/or behavioral health...managed care preferred

    Regulatory Analysis Legislation Interpretation Risk Assessment Database Management
  • Senior Pharmacy Finance Analyst

    Bachelor's Degree from an accredited institution Experience with Business Intelligence/reporting tools such as Base SAS, Tableau, or SQL Server Management Studio Intermediate skills in MS Excel, Access, Word, and PowerPoint Experience in managed care...health plans or Pharmacy Benefits Managers Experience in oversight activities within a Dental Benefits Manager

    Invoice Validation Audit Support Budget Monitoring Regulatory Reporting
  • New York Licensed Dental Associate

    High School diploma or equivalent experience in the Medical/Hospital field Availability to work full-time, virtually within New York State Solid computer skills; knowledge of Facets and Macess preferred Two years of customer service experience in Company...Company or Company insurance Understanding of HRA, FSA, HSA regulations is helpful

    Facets Macess HDHP FSA
  • Chief of Staff

    independently and collaboratively in a virtual workspace In-depth understanding of the MS Office suite and relevant software applications Preference for multilingual applicants and those with lived experience as a Company member of individuals with special health...care needs

    Administrative Support Project Management Travel Coordination Email Correspondence
  • IT Procurement Systems Analyst

    continuous process improvement Required Qualifications Bachelor's degree in Computer Science or related field or equivalent experience 4+ years of experience analyzing information systems Experience in coding and understanding technical specifications Health...Care Industry experience or knowledge preferred Proficiency with MS Office Suite and experience with flowcharting and document management software

    SAP Coupa Conga EDI
  • Quality Program Strategist

    Lean 6 Sigma methodologies to identify and resolve issues with priority metrics Required Qualifications Associate's degree in Nursing, Public Health, or a related clinical field, or equivalent experience 2+ years of clinical experience or managed care...Health insurance experience required; 1+ year of quality experience preferred Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker preferred; CPHQ preferred

    Quality Metrics HEDIS Initiatives Data Systems Clinical Experience
  • Quality Program Strategist

    resources and tools for HEDIS, CAHPS, and/or HOS to enhance member and provider experiences Required Qualifications Bachelor's degree in Nursing, Public Health, or a related field; Master's degree preferred 4+ years of clinical experience in managed care...or health insurance required; 2+ years of quality experience preferred Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker (LCSW) preferred CPHQ certification preferred Must reside in EST

    Managed Care Quality Management HEDIS CAHPS
  • Population Health Executive

    A company is looking for a Sys VP Population Company Administrative Services.

    Data Analytics Network Management Process Improvement Change Management