Medicare MA-PD Regulatory & Escalated Complaints Analyst
$41.7k - $92.8kHCSC
Health Care Service Corporation is looking for a CMS MA-PD and PDP Escalated Complaints Coordinator. The role involves coordinating CMS complaints and ensuring compliance with Medicare regulations, alongside guiding internal staff regarding Medicare plans. The ideal candidate should have a Bachelor's degree in business or two years of experience in health insurance. Excellent communication skills and proficiency in relevant tools are required. This position offers a competitive salary range of $41,700 - $92,800 and a robust benefits package. #J-18808-Ljbffr Health Care Service Corporation
- ...invest in your professional development. Summary Receipt and coordination of CMS MA‑PD and PDP escalated complaints. Submission of member and marketing materials to CMS for HCSC’s Medicare Advantage and Prescription Drug Plans. Application of CMS review of member and...ComplaintsContract work
$41.7k - $92.8k
...for a dedicated professional to join our team as a CMS MA-PD and PDP Escalated Complaints Coordinator. Job Summary This position is responsible for... ...of member and marketing materials to CMS for HCSC’s Medicare Advantage and Prescription Drug Plans; applying CMS regulations...RegulatoryComplaintsContract work$120k - $160k
...supervisory inquiry or process that requires escalation from the Senior Risk Officer and/or the... ...Focuses on business ethics and regulatory and compliance practices Provides coaching... ...and Compliance Division with customer complaints and litigation Together with the...RegulatoryComplaintsTemporary workLocal area$46.99k - $122.4k
...facing workflows, inquiries, and escalations across claims, enrollment, contracting, and regulatory functions. This role serves as... ...(DOI), and medical society complaints Research and resolve member or... ...(FWA) investigations Support Medicare eligibility audits, network...RegulatoryComplaintsHourly payFull timeContract workTemporary workWork experience placementWork at officeLocal areaRemote work- ...and issue complex data for assigned quality reports. Coordinate complaint management activities and customer feedback failure... ...quality activities. Recommend appropriate field actions to product regulatory committees. Recommend appropriate product stop shipment actions...RegulatoryComplaintsFor contractors
- ...Employee Relations Analyst Job Number: 26-00840 Ready for a rewarding opportunity in the... ...manage employee relations cases, including complaints, grievances, and policy violations.... ...Compliance teams to ensure adherence to regulatory requirements. Analyze trends in employee...RegulatoryComplaints
- Aston Carter is seeking a Complaint Analyst for a 6-month contract in Lebanon, TN. The role involves evaluating post-market data to categorize complaints and ensure compliance with regulatory standards. Responsibilities include reviewing complaint entries, maintaining records...RegulatoryComplaintsContract workRemote work
$99.84k - $124.8k
...About The Role The Senior Compensation Analyst serves as a strategic and analytical partner... ...business strategy, talent outcomes, and regulatory compliance. The role also supports pay... ...or participated in a firm or agency investigation into such complaints. #J-18808-Ljbffr...RegulatoryComplaintsMinimum wageTemporary workFor contractorsWork experience placementRemote workFlexible hours$27 - $30 per hour
Job Description The Complaint Analyst evaluates post-market data from the field to determine whether contacts qualify as formal complaints and ensures they are handled in compliance with regulatory requirements. This role involves reviewing information from multiple systems...RegulatoryComplaintsContract workTemporary workWork at officeRemote workWork from homeMonday to Friday2 days per week3 days per week$68.9k - $99.62k
The Internal Audit Analyst will be responsible for evaluating the existence, sustainability... ..., and ensuring testing is MAR and IA complaint. Minimum Qualifications Bachelor degree... ...certification is a plus. Compliance & Regulatory Responsibilities See Above License/Certification...RegulatoryComplaintsTemporary workWork experience placementWork at office$25 - $75 per hour
...are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our... ...everyone’s full potential. Treliant is looking for Analysts to focus on testing mortgage complaints and UDAAP related issues with key banking clients....RegulatoryComplaintsWork experience placementWork at officeRemote workFlexible hours- ...older adults. Our work spans Medicare Advantage, fully integrated... ...Overview The Member Experience Escalations Coach provides day‑to‑day... ...internal policies, SOPs, and regulatory standards. The Coach will... ...Escalations and/or grievance/complaints handling experience. Experience...RegulatoryComplaintsFor contractorsWork at officeRemote work
$80.55k - $115k
Join to apply for the Third Party Risk Analyst : Advisory role at Jack Henry Join to apply... ...expertise to ensure alignment with regulatory expectations and fintech industry best practices... ...retaliation for good faith reports or complaints of discrimination of any kind, pursuing...RegulatoryComplaintsFull timeWork at officeLocal areaRemote work$16.23 - $33.32 per hour
...effectiveness of the process. Assists with documentation of regulatory and procedural differences and communicates this information to... ...information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding,...RegulatoryComplaintsFor contractorsWork at officeImmediate startMonday to Friday- ...andmaintainingstrong safety programs, focusing on risk reduction and regulatory excellence. With a deep commitment to employee safety and... ..., water, carbon), and quality KPIs (defects, yield, customer complaints). Develop and track ESG reporting metrics aligned with GRI,...RegulatoryComplaintsTemporary workWork at officeRemote work
$65k - $87.5k
...Role in Synergy's Success The Compliance Analyst will lead and support quality and food... ...requested. Investigate customer/vendor complaints using root cause analysis, determining corrective... ...responses to customer audits. Assist Regulatory with new supplier and vendor...RegulatoryComplaintsLocal area$133k - $212k
...Medical Safety Manager, Complaints Handling The Medical Safety Manager... ...related to harm to assist in regulatory reportability determination... ...Medical Safety, facilitating escalations as necessary. This role makes... ...this position in CA, CT, DC, MA, NJ, NY, or WA is $149,000 to...RegulatoryComplaintsWork visaRelocation package$125.6k - $209.4k
...Wilmington, DE, Bridgeport, CT or Boston, MA.* Overview This role is responsible for... ...Management Framework, applicable policies, regulatory expectations, and industry standards.... ...sustainability of risk remediation plans. Escalate identified gaps appropriately. Guide and...RegulatoryWork experience placementWork at office$135k - $155k
...00.00/yr ABOUT THE ROLE As a Lead Fraud Analyst at Happy Money, you’ll serve as a key individual... .... Drive feedback loops using member complaints, bureau data, and operations insights to... .../ML fraud systems. Familiarity with regulatory frameworks such as BSA/AML as they pertain...RegulatoryComplaintsFull timeTemporary workWork at office- ...actuarial methodologies; expert knowledge of company, industry, and regulatory practices. Mastery of Microsoft Office products, analytical... ...location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air...RegulatoryComplaintsRemote jobTemporary workCasual workWork at office
- ...of quality, patient safety, regulatory compliance, operational efficiency... ...AR, CA, GU, IL, KS, KY, LA, MA, MD, MI, MS, NE, MV, OK, OR,... ...incidents, near misses, complaints, and quality events in accordance... ...matters, staffing needs, escalations, and process improvement opportunities...RegulatoryComplaintsFull time3 days per week
- ...Trade Surveillance Analyst page is loaded## Trade Surveillance Analystremote type: Hybridlocations... ...violations* Document research results and escalate violations and/or suspicious activity according to firm policy and regulatory requirements* Liaise with Information...RegulatoryContract workFor contractorsImmediate start
$52 per hour
...standards, professional conduct, and best practices. Regulatory Compliance: Take part in and facilitate... ...Conflict Resolution: Investigate and resolve staff complaints and grievances with professionalism and discretion, escalating to the Director of Nursing Services as needed....RegulatoryComplaintsAll shiftsShift work- ...Description: Senior Business Analyst - RCM Connectivity Testing & Data Mapping Support... ...Acceptance Testing (UAT) activities for Regulatory Change Management (RCM) connectivity... ...risks, issues, and mitigation plans. • Escalate risks and delivery concerns proactively...RegulatoryWork at office
- ...Business Analyst/Regulatory Reporting/ CFTC We are looking for CFTC Reg Reporting specialist/SME consultant who focuses only on Regulatory... ...our regulatory reporting, including clear communication and escalation as required. Document & own regulatory gaps and finding...RegulatoryWork experience placementWork at officeLocal areaRelocationShift work
$70k - $96k
...Disputes Analyst New York, NY Current is a leading consumer fintech platform transforming financial access for everyday... ...Fraud Operations, and Member Experience teams to resolve escalated disputes and complaints Identify and surface dispute, fraud, or risk trends,...ComplaintsWork at officeFlexible hours$70k - $100k
...Join Mizuho as a Risk Tech Analyst! In this role, you will be part of the NPE (New product... ...the Global Risk platform – Matsuri. Escalate problems proactively and ensure all stakeholders... ...department, as well as local laws and regulatory obligations. Roles in some of our...RegulatoryWork at officeLocal areaRemote work$100k - $130k
...About the Opportunity The Conflicts Analyst/Supervisor plays a critical role in... ...processes and mitigate risk. Monitor regulatory and ethical developments affecting conflicts... ...Resolve common conflicts issues and escalate complex issues to the Office of the General...RegulatoryWork at officeLocal areaFlexible hours- ...Business Analyst (Banking Domain) This individual will serve as the bank's primary subject matter... ...tools to support business intelligence and regulatory needs. Troubleshoot and resolve complex application issues escalated from the helpdesk; coordinate with Jack...RegulatoryContract work
- ...teams The Role We're hiring an AML Analyst to help protect the integrity of the... ...You'll work closely with the Operations, Regulatory, Finance, and Trading teams. This is a hands... ...reporting, case documentation, and escalation procedures Support ongoing improvements...RegulatoryOdd jobWork at office
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