Policy & Rules Specialist VI — Provider Investigations (Remote)
FALL CREEK FARM & NURSERY
- Remote job
Health & Human Services Commission (HHSC) in Texas seeks a Program Specialist VI to develop and promulgate rules and policy for LTCR Provider Investigations. This role requires expertise in policy interpretation and complex program initiatives, with coordination across internal teams and external partners. The position offers telework eligibility and involves leading or guiding project activities, preparing presentations, and ensuring regulatory compliance with state and federal requirements. #J-18808-Ljbffr FALL CREEK FARM & NURSERY
$5,000 - $6,999 per month
Career Opportunities: LTCR Provider Investigations Policy and Rules Specialist VI (19211) Posting ID 19211 -Posted 08/07/2026 - Health & Human Services Comm - APS Provider Investigations - Community and Social Services - Eligible for Telework - Other Locations (243) -...Remote workPolicyFull timeTemporary workPart timeWork at officeWork from homeShift work- Texas Health and Human Services Commission in Austin, TX, is seeking a Program Specialist VI to advance LTCR policy and rule work. The role supports investigations, develops manuals, and engages with stakeholders to ensure compliant program delivery across the state. The...Remote jobPolicy
- ...knowledgeable Civil Rights Specialist IV to perform senior-... ...consultative services on Title VI compliance, develop policies, and coordinate civil... ...programs. The role involves investigations, data analysis, and... ...will develop action plans, provide training, and craft guidance...Remote jobPolicy
$5,000 - $6,999 per month
...Functional Title: Program Specialist VI Job Title: Program... ...HHS Civil Rights rules and regulations, training... ...complaints and providing consultative services... ...complex program and policy issues and initiatives... ...or remedy phase of an investigation. EJF # 4: Develops and...Remote workPolicyFull timeContract workTemporary workPart timeFor contractorsWork experience placementWork at officeShift work- ...to join our team as a Senior Investigator Ombudsman. The Senior Investigator... ...federal and state statutes, rules, and policies for DCS or other state... ...per year Paid sick leave By providing the option of a full-time or part-time remote work schedule, employees enjoy...Remote workPolicyFull timeTemporary workPart timeWork experience placementWork at officeFlexible hours
$5,098.66 - $6,701.75 per month
...Functional Title Civil Rights Specialist VI Program Coordinator... ...compliance with HHS policy and applicable... ...Human Rights Act, etc. Provides consultation and... ...discrimination complaint investigations and responses. Work includes... ...complex programs, rules, regulations,...Remote workPolicyFull timeContract workTemporary workPart timeFor contractorsWork at officeShift work- Cognizant is seeking a Provider Appeals Specialist for a remote role in the United States. You will review, research, and resolve provider... ...outcomes in compliance with laws and company policy. Responsibilities include investigating denials, analyzing records, interpreting...Remote jobPolicy
- ...our mission. EO/AA The Provider Enrollment Specialist is responsible for obtaining... ...department and organization policies and insurance carrier... ...subject to URS’ post-retirement rules and restrictions. Please contact... ...Workplace Set Up Remote City SALT LAKE CITY...Remote workPolicyFull timeContract workTemporary workWork at officeShift work
$20.38 - $36.44 per hour
...Senior Provider Enrollment Representative Optum is a global organization that delivers... ...adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors... ...protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is...Remote workPolicyHourly payMinimum wageFull timeWork experience placementLive inLocal areaImmediate startMonday to Friday$17.98 - $32.12 per hour
...Provider Enrollment Representative Optum is a global organization that delivers care, aided... ...to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including... ...by local, state, or federal laws, rules, or regulations. UnitedHealth Group is...Remote workPolicyHourly payMinimum wageFull timeTemporary workWork experience placementLive inLocal areaImmediate start$18 - $32 per hour
...Massachusetts. Our entire team of providers (physicians, AP/NPs... ...the office and 3 days remotely.If you reside near... ...providers under the specialist's jurisdictionIdentify... ...departmental privacy policies, procedures and... ...state, or federal laws, rules, or regulations.UnitedHealth...Remote workPolicyHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday- ...Services Firm focusing on providing value to clients through tailored... ...of assets, processes, policies and people delivering... ...Seeks a Subject Matter Expert VI - Subject Matter Specialist (NSS014) headquartered near CONUS - Washington, DC (Remote) to support requirements...Remote workPolicyFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...Opportunity UTMB Health strives to provide equal opportunity employment... ...protected by institutional policy or by federal, state or local... ...in intake, case management, investigations, or compliance in a Human... ...experience. Work Schedule Mostly remote and as-needed on-site, as...Remote workPolicyFor contractorsWork at officeLocal areaMonday to Friday
$5,098.66 - $8,304.83 per month
Job Overview Position: Program Specialist VI (Office of the Chief of... ...analysis, and evaluation of complex policy issues and initiatives.... ...effectiveness, resolving issues, and providing recommendations for executive... ...state or federal statutes, rules, regulations, and guidance...Remote workPolicyWork at officeDay shift- LOCALS ONLY - ONSITE MON - THURS, REMOTE ON FRIDAYS Duration- 1 year... ...of contract and payor policy information to internal stakeholders... ...supervisory responsibilities Provides work direction only Provides... ...weekends, and overtime as needed. VI. PHYSICAL DEMANDS (The...Remote workPolicyContract workWork at officeLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift
$28.27 - $50.48 per hour
Provider Reimbursement Specialist - Remote in WA or NC Join to apply for the Provider Reimbursement Specialist -... ...UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including... ...by local, state, or federal laws, rules, or regulations. UnitedHealth...Remote jobPolicyHourly payMinimum wageFull timeWork experience placementLocal area$58.8k - $70k
...Growing together. The Provider Engagement Specialist will have... ...provider groups with investigating standard and non-standard... ...All employees working remotely will be required to... ...Group’s Telecommuter Policy Pay is based on several... ..., or federal laws, rules, or regulations....Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal area$19.7 - $27.2 per hour
Provider Relations Specialist About Company Samaritan Ministries is a Biblical solution... ...negotiating prices, investigating and resolving provider related... ...Knowledge of SMI Internal Policies and Procedures (... ...approved (i.e. hybrid or remote), the employee must work in...Remote workPolicyFull timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend workAfternoon shift$88.19k - $106.86k
...services and programs that provide our employees with the resources... ...Therapy team.The Senior Specialist, Investigations, Cell Therapy provides... ...capability centers. Employees in remote-by-design or lab-based... ...with applicable data privacy policies and regulations.If you believe...Remote workPolicyHourly payPermanent employmentFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Partners is the nation's leading provider of clinically integrated eye... ...Title: Provider Enrollment Specialist We are looking to target... ...~ Adheres to all safety policies and procedures in performing... ...Location: Work takes place in a remote work environment. Travel to other...Remote workPolicyWork at officeFlexible hours
$100 per hour
...high temperature, and providing corresponding documentation... ...to well sites in remote locations and work at... ...OPPORTUNITY & VETERANSCompany policy is to provide every... ...to make any further investigations deemed necessary in... ...familiar with all the rules and regulations of the...Remote workPolicyContract workFor contractorsTraineeshipWork at officeLocal areaImmediate startWeekend work- ...determined by the agency policy. Travel Required... ...virtual asset service providers, exchangers, tumblers,... ...Tier 5 level background investigation. Failure to... ...arrangement (e.g., telework, remote work, etc.), subject to... ...Competitive examining rules providing for rating and...Remote workPolicyPermanent employmentFull timeTemporary workPart timeWork experience placementWork at officeRelocationMonday to FridayFlexible hours
- ...SpecialistLocation (remote/on-site/hybrid):... ...SummaryThe EHS Specialist function utilizes... ...acquired knowledge to provide EHS technical... ...the safety policies, guidelines, and... ...accident and incident investigations are conducted in... ...procedures and operating rules, etc.Excellent...Remote workPolicyWork experience placementLocal areaAfternoon shift
- ...vendor relationships, the full-time Offshore Provider Relations Supervisor will oversee day-to-day... ...contact center support, ensuring compliance with policies, performance metrics, and service level agreements in a fully remote environment. Key responsibilities Oversee...Remote workPolicyFull timeWork at office
$112.4k - $146.12k
...determined by the agency policy. Travel Required... ...the regional office, providing administrative and business... ...pass a background investigation. This may include a credit... ...with applicable laws, rules, and regulations (5 U.... ...(e.g., telework, remote work, etc.), subject to...Remote workPolicyPermanent employmentFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocationOverseasFlexible hours- ...and trust that are integral to our mission. EO/AA The Provider Enrollment Specialist is responsible for obtaining and coordinating all necessary... ...and complies with department and organization policies and insurance carrier guidelines. Other duties as assigned...Remote workPolicyContract workWork at office
$7.25 per hour
...First (Day) Job Description Location: Remote Schedule: Monday through Friday, 8am... ...for the overall administration of the provider enrollment process for new and existing... ...State Guidelines related to enrollment policies preferred Ability to effectively communicate...Remote workPolicyHourly payFull timeLocal areaMonday to FridayShift work£30k per year
...Case Management Specialist Location: Remote (with quarterly travel for... ...Management Manager, you will provide full administrative... ...and Engagement Investigating cases and providing... ...the Civil Procedure Rules Ability to interpret insurance policy wording and coverage...Remote workPolicyWork at office$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not... ...the PA Department Investigate, review, and prepare all... ...the review (Medical Policies, KMS, Benefit Grids, Handbooks... ..., and other coverage rules Take incoming phone... ...resolutions, etc.) Remote Work This position...Remote workPolicyMinimum wageFull timeWork experience placementLocal areaShift work- ...ELIGIBILITY SPECIALIST I - 60025838 Families in need and... ...need of assistance to provide shelter for loved ones... ...in the program policy and/or computer-based... ...current with changes in rules, laws, procedures, etc... ...interviewing, recruiting, investigating, accounting, processing...Remote workPolicyFlexible hours
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