POSITION SUMMARY/RESPONSIBILITIES
The Compliance & Regulatory Specialist is responsible for assisting in the oversight and execution of compliance in the health plans operational areas, including delegated operational activities and regulatory reporting. The candidate must be familiar with current Texas Medicaid regulations, the Texas Department of Health and Human Services, Texas Department of Insurance (TDI) regulations, the Office of Inspector General (OIG) Compliance Plan, the Centers for Medicare and Medicaid Services (CMS) and should also be familiar with health plan documents such as Summaries of Benefits and Coverage, Schedules of Benefits and Certificates of Coverage. This position will coordinate and facilitate the execution of the companys regulatory deliverables. The Compliance & Regulatory Specialist will assist with the interpretation of and/or execution of changes in regulations and guidelines, including HIPAA. This position will need to build key relationships with regulatory agencies and internally to facilitate improved interaction, transparency and accountability.
EDUCATION/EXPERIENCE
A bachelor's degree in business administration, public administration, health care administration or a related field is desired but will accept experience in lieu of education. Proficiency in Microsoft Office applications.
...Job Description GetMed Staffing, Inc. is seeking a travel Radiology Technologist for a travel job in Aspen, Colorado. Job Description & Requirements ~ Specialty: Radiology Technologist ~ Discipline: Allied Health Professional ~ Start Date: 11/10/2025~...
...Job Description The Real Estate Legal Assistant will provide comprehensive administrative and client service support to attorneys in the Real Estate Practice Group, ensuring efficient communication, document management, and workflow. The role involves preparing, formatting...
...Join Our Part-Time Research Studies Today! Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and...
...Description Sociology Adjunct Faculty Salary: $1,000 per credit* Classification: Adjunct Faculty Supervisor: Dean for Social Science & Humanities *This recruitment is to establish an applicant pool for future vacancies. Individuals will be contacted as vacancies...
...Doctor of Pharmacy (PharmD) degree Required: Current licensure as a Pharmacist in practicing state Entry Level no previous experience required; pharmacist experience preferred. Licensure, Certifications, and Clearances: Pharmacist UPMC is an Equal...