Regulatory Compliance Specialist

NACBA

CVS Health is seeking a Program Integrity Auditor to review records for medical, behavioral, transportation and other healthcare providers, ensuring accurate coding and proper documentation. The Auditor will assess coding usage, modifiers and place of service, and may refer cases for recoupment or regulator action. This role supports Medicaid lines of business and detects fraud, waste or abuse. The ideal candidate has 3–5 years of claims data review experience, holds CPC/CCS/CPMA certification, #J-18808-Ljbffr

Apply

Vacancy posted 10 hours ago

Similar jobs that could be interesting for youBased on the Regulatory Compliance Specialist in Sioux Falls, SD vacancy

Regulatory Specialist
$20.75 - $31.5 per hour
...Clinical Research Regulatory Coordinator Location: Avera Research Institute-Sioux Falls Worker Type: Regular Work Shift: Day... ...to sponsors, CROs, and Institutional Review Boards (IRBs) in compliance with applicable regulations and contracts. Manages study start...
Suggested
Work experience placement
Shift work
Day shift
Avera Health
Sioux Falls, SD
1 day ago
Regulatory Compliance Analyst
...PREMIER Bankcard, LLC is seeking a dedicated Quality Assurance/Compliance professional in Sioux Falls to drive regulatory adherence and quality improvements. You will bridge operational teams and compliance leadership, ensuring clear communication and effective governance...
Suggested
PREMIER Bankcard, LLC
Sioux Falls, SD
9 hours ago
Driver License Examiner
$20 per hour
Sioux Falls, SD | Public Safety | Full-Time 40 Hours Weekly 20.00 - 20.00 US per hour Posted 3 days ago | Apply before July 27, 2026 Description PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE Job ID: 36570 Agency: Department ofPublic Safety...
Suggested
Hourly pay
Full time
Work at office
Visa sponsorship
Work visa
Monday to Friday
Night shift
1 day per week
Sdsoybean
Sioux Falls, SD
2 days ago
Quality Compliance Specialist
...Electronic Systems, Inc. is seeking a Shift 2 Quality & Compliance Facilitator to support our Quality Management System, audits, supplier compliance, and regulatory activities. The role collaborates across departments to ensure products meet quality standards and regulatory...
Suggested
Shift work
Electronic Systems, Inc.
Sioux Falls, SD
10 hours ago
Compliance Specialist
$27.88 - $34.15 per hour
...Job Description Compliance Specialist Full-Time, Non-Exempt: Monday - Friday Schedule $27.88 - $34.15 / hour (DOE) Identify Risk. Strengthen... ...compliance audits, and helping reduce operational, regulatory, and reputational risk. If you're naturally curious, detail...
Suggested
Full time
Contract work
Casual work
Work at office
Monday to Friday
Afternoon shift
Expansion Capital Group
Sioux Falls, SD
1 day ago
CMMC Compliance Analyst
$105.79k - $141.05k
...ownership, deliver meaningful impact, and help shape the future of AI‑ready connectivity, join us today. The Role The CMMC Compliance Analyst must have advanced practical experience in managing all phases of security integration to assist the Security Manager and...
Full time
Temporary work
For contractors
Remote work
Lumen
Sioux Falls, SD
3 hours ago
Licensed Life Insurance Advisor - Commission Based
...caps, captive carrier limitations, or opaque lead structures? We are expanding our network of established financial protection specialists. This 1099 entrepreneurial partnership is tailored for self-starting professionals who want to maximize their earning potential by...
Contract work
Work at office
Immediate start
Remote work
CEO Life
Sioux Falls, SD
2 days ago
Marketing Compliance Analyst
...: POSITION: MARKETING COMPLIANCE ANALYST-BILINGUAL REPORTS TO: Marketing Compliance Manager WORK SCHEDULE: Standard business... ...of collateral materials in accordance with bank, network, and regulatory rules. Candidate must be bilingual Spanish speaking. WORK LOCATION...
Full time
Work at office
Remote work
Monday to Friday
Central Payments LLC
Sioux Falls, SD
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Regulatory Compliance Specialist. Be the first to apply!