Provider Investigations Policy Specialist VI - Remote
Texas Health and Human Services
- Remote job
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 position requires strong policy, legislation analysis, and facilitation skills, with opportunities for telework and statewide impact. This role emphasizes collaboration, leadership, and delivering clear, practical guidance to #J-18808-Ljbffr Texas Health and Human Services
- 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...Remote jobPolicy
$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$18 per hour
...Position Summary: The Investigations Specialist (IS) is responsible for the... ...assigned Complies with all policies and standards Required... ...experience and training that provides the required knowledge,... ...Where required, including for remote-eligible roles, local pay ranges...Remote workPolicyHourly payTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift workAfternoon shift$33.28k - $37.44k
...development. Summary Provider Enrollment Specialists work as the enrollment... ...preferred. Ability to investigate complex inquiries while leveraging... ...role This is a 100% remote position with 8-hour... ...generous, flexible vacation policy, a 401(k) employer match,...Remote workPolicyFull timeWork at officeMonday to FridayFlexible hoursShift work- ...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
$5,000 - $6,999 per month
...Opportunities: Civil Rights Program Specialist VI (19795) Posting ID 19795 -... ...Description: Training and Policy Program Specialist VI... ...produces reports of findings and provides technical consultation on CRO activities including, investigations, training, civil rights...Remote workPolicyFull timeContract workTemporary workPart timeFor contractorsWork at officeShift work$60.62k
JOB TITLE: Investigator - Specialist V JOB #: 2973 DIVISION: Certification... ...complaints, assist in developing policies and procedures and training... ...offer the ability to work remotely up to two days per week,... ...life insurance ~By providing the option of a full-time or...Remote workPolicyFull timeTemporary workPart timeWork at office2 days per week$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$5,000 - $6,999 per month
...Functional Title: Program Specialist VI Job Title: Program Specialist... ...needs, developing, and providing training; acting as subject... ...maintain coding requirements, policies, and procedures. Monitors compliance... ...inspecting, reviewing, and investigating fraud, waste, and abuse in...Remote workPolicyFull timeTemporary workPart timeFor contractorsWork at officeShift work$89.78k - $108.79k
...services and programs that provide our employees with the resources... ...-with-us. The Senior Specialist, QA Investigations, is responsible for quality... ...applicable regulations and BMS policies and guidelines.... ...capability centers. Employees in remote-by-design or lab-based roles...Remote workPolicyHourly payFull timeTemporary workPart timeFor contractorsWork experience placementSummer workLive inLocal areaFlexible hoursShift work- ...individual to join our team as a Senior Investigator Ombudsman. The Senior... ...and state statutes, rules, and policies for DCS or other state agencies,... ...holidays 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
- ...Wealthfront is seeking a fully remote Fraud Operations Specialist responsible for daily fraud monitoring and investigation activities. The role collaborates with Compliance, Engineering... ...data-driven analyses, and developing policies to strengthen Wealthfront’s anti-financial...Remote workPolicy
- ...Location: Remote Schedule: Monday through Friday, 8am to 4:30pm EST GENERAL SUMMARY... ...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 workPolicyLocal areaMonday to Friday
- ...Contracting Officer's Representative (COR) for investigative contracts, overseeing contractor... ...senior management on personnel security policy, adjudication, and workforce reliability... ...GS-13 level in the Federal service which provided the applicant with the particular knowledge...Remote workPolicyFor contractorsWork at office
- ...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
- ...Job Summary The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment... ...Working knowledge of physician HIPAA Privacy & Security policies and procedures Strong oral, written, and interpersonal...Remote workPolicyFlexible hours
$20.38 - $36.44 per hour
...Senior Provider Enrollment Representative Optum is a global organization that delivers care, aided by technology to help millions of... ...will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited...Remote workPolicyHourly payMinimum wageFull timeWork experience placementLive inLocal areaImmediate startMonday to Friday- ...Human Services Commission (HHSC) is seeking a Civil Rights Program Specialist VI to lead advanced training, policy, and quality management within the Civil Rights Office. You will oversee investigations, data reporting, and cross-team collaboration to ensure compliance...Remote workPolicyWork at office
- BetterHelp is seeking a Providers Incentives Advocate to support compensation processes and... ...weekly while aligning with internal policies. You will resolve inquiries about missed... ...onboarding incentives and state-based programs. Remote-friendly with occasional in-person...Remote jobPolicy
$41.64k
...accordance with DCF salary policy THIS IS A STATEWIDE VACANCY... ...substance abuse, childcare providers, human trafficking, and public... ...Integrity (OPBI) is responsible for investigating public assistance fraud or... ...position. INVESTIGATION SPECIALIST I – 60048548 – ESS OPBI...Remote workPolicyFull timeTemporary workWork at officeLocal areaMonday to Friday- Avēsis is seeking a Provider Relations Representative (PR2) to bridge the vendor network... ...support across Pennsylvania. The role blends remote work with field engagements to ensure... ...informed, engaged, and compliant with policies and state/federal regulations. You will...Remote workPolicy
- ...University of North Texas in Denton is seeking an Equal Opportunity Investigator to receive, triage, and resolve discrimination, harassment,... ...or advisor, and collaborate with campus leaders to ensure policy compliance. Applicants should hold a bachelor's degree in a related...Remote jobPolicy
$48k - $55k
The Role: The Member and Provider Experience Specialist serves as the first point of contact for members... ...Educate members and providers on plan policies, digital tools, and available resources... ...and development opportunities Remote capabilities Work Hours will be Monday...Remote workPolicyMonday to Friday- ...enforcement, regulatory and licensing investigative activities to gather... ...based on office policy, the accessibility of information... ...relevant to an investigation, provides technical assistance and training... ...with supervisor and program specialists. Assists with witness...Remote workPolicyMinimum wagePermanent employmentFull timeContract workTemporary workTraineeshipCasual workWork at officeLocal areaImmediate startTrial periodVisa sponsorshipNight shiftAfternoon shift2 days per week
$84.23k - $92.5k
...Senior Equal Opportunity Specialist (SEOS). The next SEOS... ...and conducting investigations pertaining to discrimination... ...with Title VI and VII of the CRA, Title... ...combining both in-office and remote work to provide flexibility and... .... Per Rice policy 440, work arrangements...Remote workPolicyFull timeWork at officeLocal area$45.39k - $80.51k
JOB DESCRIPTION Job Summary Provides support for implementation of health plan provider engagement strategies and activities to drive necessary... ...and procedures as prescribed by health plan and corporate policies. Communicates comfortably and effectively with internal and...Remote jobPolicyWork experience placementWork at office$123.6k - $187k
...background in vapor intrusion (VI) mitigation for... ...clients. Knowledge of VI investigations and data interpretation... ...’ concerns and provide pertinent and timely feedback... ...Personalized Paid Time Off (PPTO) policy for full-time salaried/... ...offices/projects and remote locations enabling them...Remote workPolicyFull timeFor contractorsWork at office$5,098.66 - $8,304.83 per month
Job Overview Position: Program Specialist VI (Office of the Chief of Family Resources and Eligibility... ..., analysis, and evaluation of complex policy issues and initiatives. Coordinating... ...effectiveness, resolving issues, and providing recommendations for executive...Remote workPolicyWork at officeDay shift$56.2k - $101k
...for this job have the flexibility to work remote from home and preferably reside in New... ...relationships with physicians, hospitals, ancillary providers and Health Net's internal Provider... ...needed and/or as required. Assists with policy and procedure interpretation. Researches,...Remote workPolicyFull timeContract workPart timeWork experience placementH1bWork at officeWork from homeFlexible hours
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