• Job Description

  Req#: 16714
  Employer Industry: Managed Healthcare Services
  
  Why consider this job opportunity:
  - Salary up to $120,000 plus corporate bonus incentive
  - Comprehensive benefits package including Medical, Dental, Vision, 401(k) with company match, and Paid Time Off
  - Opportunity to work in an award-winning culture that emphasizes company values
  - Engage in continuous improvement efforts that impact operational efficiency and compliance
  - Potential for career advancement and professional development within the organization
  
  What to Expect (Job Responsibilities):
  - Monitor and track federal and state laws impacting the employer's operations, preparing communications for affected business areas
  - Provide cross-functional support in developing and implementing policies and procedures to ensure legal compliance
  - Secure and maintain required operational licenses
  - Identify continuous improvement opportunities for compliance tracking and reporting
  - Train and mentor new team members in the Compliance Department
  
  What is Required (Qualifications):
  - Minimum of 7 years of experience in a managed care setting with knowledge of laws impacting workers’ compensation, auto, and/or commercial health insurers
  - Bachelor’s degree preferred; JD or paralegal experience is a plus
  - Expertise in regulations related to utilization management, claims, and network management
  - Proficiency in MS Office Suite, including Excel and PowerPoint
  - Strong organizational, analytical, and communication skills with attention to detail
  
  How to Stand Out (Preferred Qualifications):
  - Experience in regulatory affairs and operations of HMOs or managed care organizations
  - Advanced legal research skills
  - In-depth knowledge of state and federal guidelines governing managed health care
  - Ability to operate with a high degree of autonomy and sound judgment in decision-making
  
  #ManagedCare #HealthcareCompliance #CareerOpportunity #CompetitivePay #ProfessionalDevelopment
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

  We are architecting the future of care at home through a holistic view of post-acute care, determining the best clinical path, and guiding care to the home.

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