Health Plan Compliance Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Health Plan Compliance Specialist (Remote - PST Hours).
Key Responsibilities
Complete internal audits to ensure operations meet plan requirements and quality metrics
Maintain and update internal documentation for accurate team information
Support timely submission of monthly / quarterly reporting and manage multiple compliance projects
Required Qualifications
At least 2 years of experience in project management, quality, compliance, or operations
Proficiency with Google Workspace (Docs, Sheets, Drive)
Experience using Looker or similar data analytics / reporting tools
Ability to design organized trackers and manage workflows in project management tools
Strong organizational skills with the ability to balance competing priorities and deadlines
serp_jobs.job_alerts.create_a_job
Compliance Specialist • Saint Paul, Minnesota, United States
Job_description.internal_linking.related_jobs A company is looking for a Healthcare Regulatory & Compliance Clinical Specialist I.Key Responsibilities Develop and update compliance templates, policies, checklists, and competency assessments ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Lead Population Health Clinical Program Development Strategist.Key Responsibilities Leads the design of population health strategy initiatives and programs to enhance c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Behavioral Health FWAE Investigations Analyst - Remote.Key Responsibilities Investigate and review claims for trends related to Fraud, Waste, Abuse, and Errors Interpr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Compliance Specialist (LIHTC).Key Responsibilities Provide customer service and support to onsite teams during the file approval process Review resident files for comp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Grants & Donations Compliance Specialist.We are looking for a detailed, organized, customer-focused Grants & Donations Compliance Specialist for Medtronic's Cardiac Rhythm Management (CRM) business...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Cynet Health is seeking an experienced Surgical Tech for an exciting Travel Allied job in Saint Croix Falls, WI.Shift : 5x8 hr days Start Date : ASAP Duration : 13 weeks Pay : $2106 / Week.Ranked #5 Be...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a PCCM Specialist who will serve as a subject matter expert and team lead in payment compliance and contract management.
Key Responsibilities Conduct quality monitoring an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Health Insurance Support Specialist.Key Responsibilities Navigate complex insurance verification, billing disputes, and benefit explanations Handle credentialing inqui...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Healthcare Services Segment Specialist (RAC).Key Responsibilities Lead reviews and updates of existing concepts based on client or regulatory changes Conduct research ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world.
We are comprised of two distinct and complementary business...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Compliance Corrections Specialist.Key Responsibilities Participates in the corrections process for compliance issues across all lines of business Collaborates w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Health Insurance - Stakeholder Engagement Specialist.Key Responsibilities Review case documentation and render independent determinations in accordance with IDRE guidel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Compliance Specialist who will support insurance operations and compliance processes.Key Responsibilities Manage the external licensing program, ensuring compliance wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Procurement Contract Compliance Specialist I to support the management and oversight of compliance with organizational and Health Plan contract requirements.Key Responsib...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Remote Claims Specialist.Key Responsibilities Review and investigate claims related to FMLA, PFL, ADA, and other leave programs Adjudicate claims in accordance with re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
LRS Healthcare - Allied is seeking a travel Ultrasound Technologist for a travel job in Red Wing, Minnesota.Job Description & Requirements.
LRS Healthcare - Allied Job ID #30I-06747.Pay package is b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Specialist, Documents and Information.Key Responsibilities Accesses hospital information systems to retrieve medical documents and information for hospital claims proce...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Mexico Licensed Healthcare Compliance Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Population Health Program Strategist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Behavioral Health Investigations Analyst
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
LIHTC Compliance Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Compliance Specialist, CRM (Grants / Donations)
Medtronic PlcSaint Paul, MN, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Surgical Tech - $2106 / Week
Cynet HealthSaint Croix Falls, WI, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Payment Compliance Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Health Insurance Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Healthcare Services Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director, Claim Pricing - Remote
UnitedHealth GroupMinnetonka, MN, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Compensation Director - Remote
UnitedHealth GroupEden Prairie, MN, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Compliance Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Health Insurance Stakeholder Engagement Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Property & Casualty Compliance Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Procurement Compliance Specialist
VirtualVocationsSaint Paul, Minnesota, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Claims Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Ultrasound Technologist - $2,772 per week
LRS Healthcare - AlliedRed Wing, MN, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
HIPAA Compliance Specialist
VirtualVocationsMinneapolis, Minnesota, United Statesserp_jobs.job_card.full_time