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Masters / Business Operations / Experienced Remote Health Care Compliance Jobs
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Regulatory Operations Analyst
responses for regulatory filings Required Qualifications Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required Master's Degree or 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 preferredPharmacy 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 managementQuality 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
