Health Plan Regulatory Compliance Specialist
University Health
Community First Health Plans seeks a Compliance & Regulatory Specialist to help oversee and execute compliance across operations and delegated activities. You will coordinate regulatory deliverables and assist with interpreting changes in guidelines, including HIPAA, to improve transparency and accountability.
The role requires familiarity with Texas Medicaid, TDI, CMS, and related regulatory bodies, plus strong MS Office skills. A related bachelor’s degree or equivalent experience is preferred.
#J-18808-Ljbffr- ...advanced skill level of a Coding Specialist. Is adept at data collection... ...and documentation to ensure compliance with federal and state laws... ...may be reported to external regulatory and law enforcement agencies... ...with the Community First Health Plan's anti-fraud program....Health InsuranceContract workFor contractorsWork at office
$81.9k - $96.36k
Senior Regulatory Administration SpecialistSan Antonio, TX About Victory Capital:Victory Capital... ...-time Senior Regulatory Administration Specialist to join the Fund Administration team.... ...excellent Medical, Dental, Vision plans, Flexible PTO, Family Medical and Disability...SuggestedFull timeContract workWork experience placementLocal areaFlexible hours$60k - $90k
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...Senior Regulatory Administration SpecialistVictory Capital Management is seeking a full-time Senior Regulatory Administration Specialist to join the Fund Administration team. This role oversees all... ...Medical, Dental, Vision plans, Flexible PTO, Family Medical and...SuggestedFull timeLocal areaFlexible hours- ...what lies ahead. Benefits: ~ Multiple medical plan options ~ Health Savings Account with company contributions ~ Dental & vision... ..., and medical staff structures Prior involvement in regulatory audits, surveys, or quality improvement projects Experience...Health Insurance
- ...Job Description Conduct scheduled and unannounced on-site compliance monitoring visits within the assigned geographic region.... ...,identifytrends or inconsistencies, and evaluate adherence to regulatory requirements. Evaluate personal, demographic, and company data...For contractorsWork at officeLocal area
- POSITION SUMMARY/RESPONSIBILITIES The Compliance & Regulatory Specialist is responsible for assisting in the oversight and execution of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting. The candidate...Health InsuranceWork at office
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$4,250 - $5,094.16 per month
...SAN ANTONIO, TX Join the Texas Health and Human Services Commission... ..., a defined benefit pension plan, generous time off benefits,... ...child-care facilities, documents compliance or noncompliance with... ...investigation decisions. Completes regulatory tasks associated with DFPS...Health InsuranceFull timeTemporary workPart timeCasual workWork at officeRemote workFlexible hoursShift workWeekend workAfternoon shift- North America Security & Select Services is hiring a Level 2 Security Officer in San Antonio, TX. The role involves maintaining a safe site, verifying access, patrolling zones, and compiling security reports as duties evolve with shift rotations. Requirements include...Full timeShift work
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...seeking a detail-oriented Insurance Operations – Credentialing Specialist to join their Insurance Operations team. This organization... ...Benefits ~ Atrium Care Package available, upon eligibility (including healthcare plans, discount programs, and paid time off)....Health InsuranceHourly payRemote work- ...NoneWhat You Will Do:The Guidehouse Trust Company (GHTC) BSA/AML Compliance Officer will be responsible for the day-to-day management,... ...Guidehouse Trust’ BSA/AML/OFAC and Sanctions compliance functions and regulatory obligations.Maintaining and ensuring GHTC has risk-based...Full timeWork at officeLocal areaFlexible hours
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$36.59k
...Compliance SpecialistCompensation: $36,586 + commission (OTE $100,000) Type: FTE, Salaried... ...role Summary Are you an OSHA/HIPAA Specialist working in the dental field, looking for... ...newsletter.Interaction with State and Federal regulatory agencies (where necessary).Stay current...Permanent employmentWork at officeLocal areaRemote workWork from home$25 - $35 per hour
Residential Mortgage InspectorFAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Medina County, Texas and surrounding communities. If you live in or near San Antonio or anywhere in Medina County, this is...Hourly payExtra incomeFull timeFor contractorsLive inFlexible hours$19.8 - $22.9 per hour
...knowledge to educate and empower clients Maintain licensure and uphold hygiene standards Keep licenses active and always uphold health and safety protocols Foster inclusiveness and teamwork Help promote a culture of openness where everyone feels empowered Uphold...Hourly payFull timePart timeFlexible hoursShift workNight shiftWeekend work- ...Decypher and make a direct impact on the health and readiness of America’s service... ...candidates, ensuring accurate verification, compliance, and timely coordination of interviews,... ...process, maintaining critical timelines, regulatory documentation, quality standards, and performance...Contract workPart timeCurrently hiringWork at officeRemote workOverseasFlexible hoursWeekend workAfternoon shift
$26.77 per hour
...Decypher and make a direct impact on the health and readiness of America’s service... ...Summary: Supports senior credentialing specialists by performing primary source verification... ...accurate provider records, and ensuring compliance with government and DoD requirements. This...Hourly payWork at officeMonday to Friday- ...finding a solution? If so, being an IT Compliance Specialist with Frost could be for you.At Frost, it... ...control deficiencies and develop plans with IT management to implement controls... ...Benefits:At Frost, we care about your health, your family, and your future and strive...Full time
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- A growing technology company in San Antonio is looking for a Community Admin Specialist to focus on data analysis and compliance. This fully remote position involves working closely with community partners to enhance homelessness response systems. The successful candidate...Remote work
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...more. Base pay range $45,000.00/yr - $52,000.00/yr Position: AML Compliance Analyst Hours: Mon-Fri 8am-5pm JOB DESCRIPTION Interpretation... ...Knowledge of Banking products and services. Understanding of regulatory concepts including, but not limited to the Bank Secrecy Act,...Full timeWork experience placementWork at office- Business/Compliance Analyst (Entry-Level) We are seeking ambitious recent college graduates to join our team as Business/Compliance Analysts supporting one of the nation's largest mortgage lenders in San Antonio. Selected applicants will gain hands‑on experience in mortgage...Hourly payFull time
- ...TransPecos Banks in San Antonio, TX, seeks a Compliance & Risk Analyst for a temporary 16-week contract. The role supports the compliance... ...with focus on documentation, policy administration, and regulatory monitoring across banking operations and Sponsor Bank programs...Temporary work
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- ...Description Job Description Compliance Coordinator – Help Us Raise... ...in Care At Legacy Home Health Agency, we believe that exceptional... .... Track corrective action plans and turn compliance "gaps"... ...surveys and inspections from regulatory and accrediting bodies....Work at office
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