Job Summary
A health insurance company has an open position for a Remote Regulatory Specialist.
Core Responsibilities Include:
- Ensuring data accuracy for clinical member correspondence
- Identifying potential risk areas & analyzing, evaluating & recommending changes & enhancements to existing practices & processes
- Acting as a liaison to the Business Relationship Managers (BRMs), Regulatory, Compliance and other key stakeholders
Skills and Requirements Include:
- Associates degree from an accredited institution
- OR equivalent work experience
- Knowledge of at least two or more lines of business such as Medicare, Medicaid, Essential Plan, Quality Health Plan, Commercial, etc
- Work experience with audit methodologies and techniques
