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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 independentlyPharmacy 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 managementRegulatory 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 preferredSenior 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 ManagerNew 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 helpfulChief 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 needsIT 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 softwareQuality 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 preferredQuality 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 ESTPopulation Health Executive
A company is looking for a Sys VP Population Company Administrative Services.
