Hybrid Operations Regulatory Specialist II

Posted last month

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About the role

  • Provide analytical support and leadership for Operations projects
  • Ensure all regulatory and compliance deliverables are met
  • Collaborate with Operations departments
  • Monitor and prioritize IT tickets for Operations
  • Assist with reporting and processes tied to regulatory deadlines
  • Educate and train Business Partners on operations functions
  • Research and resolve provider claim issues and escalations

Requirements

  • Bachelor’s degree or equivalent years of relevant work experience required
  • Minimum of two (2) years of healthcare operations environment is required
  • Regulatory and/or compliance experience is preferred
  • Advanced level experience in Microsoft Word, Excel and PowerPoint
  • Data analysis and trending skills
  • Demonstrated understanding of claims operations specifically related to managed care
  • Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS coding

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities
  • Bonuses

Job title

Operations Regulatory Specialist II

Job type

Experience level

JuniorMid level

Salary

$61,500 - $98,400 per year

Degree requirement

Bachelor's Degree

Location requirements

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