The mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors
Job Summary
The mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.
The Regulatory Compliance Project Specialist is responsible for compiling, reviewing, and submitting documentation to support and respond to audits and reviews initiated by both state and federal regulators.
Benefits include 401K with a 4% match, immediate vesting, accident insurance, competitive salary, critical illness insurance, dental insurance, and more.
Matching Summary
The mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.
Salary
Competitive salary; Benefits: 401K (4% Match, Immediate Vesting), Accident insurance, Critical Illness Insurance, Dental Insurance, Employee Assistance Program, Flexible Spending Account, Health & Wellness Program, Health Savings Account, Life & AD&D Insurance, Long Term Disability, Medical Insurance, Paid Time Off, Pet Insurance, Short Term Disability, Vision Insurance
Skills & Requirements
Must-have
Federal and state regulations knowledge
Audit documentation compilation
Claims processing system navigation
Enrollment and billing system navigation
Utilization management system navigation
Call center operations system navigation
Nice-to-have
Integrity and heart
Neighbors helping neighbors spirit
Ethical and empathetic decision making
Continuous process improvement
Key Requirements
Associate degree or equivalent
3-5 years healthcare experience
Working knowledge of insurance regulations
Working knowledge of claim processes
Working knowledge of utilization management processes