Senior Analyst, UM Regulatory Operations
New
Georgia, Illinois, Texas, Kentucky, Minnesota, Pennsylvania, UtahFull-TimeSenior
Salary67813 - 89004 USD per year
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Job Details
- Experience
- 1+ years
- Required Skills
- Microsoft ExcelMicrosoft OfficePowerPointGoogle Workspace
Requirements
- 1+ years of experience in healthcare audits, or accreditations supporting NCQA and/or regulatory compliance
- 1+ years of professional experience in utilization management, healthcare operations and/or compliance, or a related field
- 1+ years of experience in Adobe Acrobat
- 1+ years of experience in Google Suite or Microsoft Office (Sheets/Excel, Docs/Word, Slides/Powerpoint, etc)
- 1+ years of experience with interdepartmental collaboration with stakeholders to drive projects
Responsibilities
- Coordinate projects and processes to help support key regulatory and compliance milestones and deliverables
- Partner with leadership to implement regulations, support key state filings, and other projects
- Partner with cross-functional teams to ensure action plans and process improvements align with project goals, and participate in collaboration with peers and cross-functional stakeholders
- Support audit exams (NCQA, MHPAEA, State)
- Help identify risks; respond to and resolve compliance gaps through regulatory implementation and in response to audits and Corrective Action Plans
- Compliance with all applicable laws and regulations
- Other duties as assigned
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