Remote Senior Clinical Regulatory and Compliance Manager

Location: New York

Compensation: To Be Discussed

Staff Reviewed: Wed, Jan 06, 2021

This job expires in: 13 days

Job Category: Project Management

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Education Level: Some College, Bachelors

Job Summary

A health insurance company has an open position for a Remote Senior Clinical Regulatory and Compliance Manager.

Core Responsibilities Include:

  • Develop, implement, and monitor processes to manage clinical audits
  • Partner with key stakeholders such as Legal, Regulatory, Compliance, Appeals and Grievances, Finance, and Pharmacy
  • Give timely and effective responses to audit inquiries and requests

Skills and Requirements Include:

  • Associate’s degree
  • Relevant prior experience such as experience working at a managed care health plan or delegated vendor
  • Experience with pharmacy benefits management
  • Demonstrated professionalism and leadership skills along with ability to develop, direct, and support a team
  • Healthcare regulatory compliance experience
  • Excellent time and project management, communication, critical/creative thinking, and problem-solving skills

COMPLETE JOB DESCRIPTION

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