Remote Health Plan BA - Workflows & Compliance
Insight Global
A leading staffing agency is seeking a Business Analyst who can work fully remote but must adhere to PST hours. This role involves partnering with stakeholders to validate and document requirements for health plan initiatives. Candidates should have at least 2 years of experience in business analysis, with a recent focus on healthcare. Strong communication and stakeholder management skills are critical as the role entails translating complex business needs into actionable requirements. Knowledge of claims processing and tools like Facets is advantageous. #J-18808-Ljbffr
$130k - $175k
...Management Systems Assurance (BA MSA) Certification Body... ...Ensure ongoing compliance of certification activities... ..., including a 401(k) plan with employer match, up... ...for other parents, health plans (medical, dental,... ...off. Work model: Remote Employment type: Full...Remote workHealth InsuranceHourly payFull timeWork at officeLocal areaWork from homeFlexible hours$55k
Job Title QA BA/Tech Writer Position Details... ..., accessibility compliance, and application... ..., including test plans, test cases,... ...of QA processes, workflows, and governance practices... ...position is fully remote Standard Office... ...Benefits Competitive health benefits (employee...Remote workHealth InsuranceFor contractorsWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...Overseeing end-to-end case processing and safety workflows, the full-time remote Pharmacovigilance Workflow Manager will ensure compliance with regulatory requirements, optimize... ...to leadership Required qualifications: BS/BA with 4 to 5 years of safety experience, MS/MA...Remote workFull timeWork experience placement
- ...Business Analyst (BA) – Medical Billing Location: Remote Boston, MA Job Type: Contract... ...Understand and document workflows related to medical billing... ...processes. Ensure compliance with industry standards... ...Agile ceremonies (Sprint Planning, Stand-ups, Retrospectives...Remote workContract work
$80k - $130k
...and other entity compliance obligations. Play... ...entity management workflows using technology solutions... ..., compliance health, and upcoming... ...operations fields. BS/BA from an accredited... ...supplemental health plans 401(k) with day‑... ...protected status. #LI-Remote #J-18808-Ljbffr...Remote workHealth InsuranceFull timeWork experience placementWork at officeLocal areaWorldwide$85.09k - $109.25k
...services to raise health access and availability... ...position is fully remote with the... ...that ensure full compliance with Controlled Unclassified... ..., and onboarding workflows that enable... ...Bachelor's degree (BA/BS) in a related field... ...of medical plan options, some with...Remote workHealth InsuranceContract workTemporary workWork at officeImmediate startWork from homeWorldwideFlexible hours- ...manage and guide the foreclosure team. This remote position requires strong knowledge of the foreclosure process, compliance with state regulations, and experience in banking... .... Carrington offers comprehensive healthcare plans and career advancement training. #J-18808-...Remote workHealth InsuranceWork at office
$46.67k - $65.67k
...supporting agriculture seeks a Claims Auditor for remote work, ensuring compliance with health benefits plans. The role involves coding new business, verifying plans... ...in processes. Candidates should have a BS/BA degree and at least two years in claims auditing. The...Remote workHealth Insurance$130 per hour
...seeking experienced Privacy Operations and Compliance professionals or Privacy Engineers or... ...time, project-based interview Work Type: Remote Estimated rate: $130/hour (prorated for... ...on: Executing data inventory and mapping workflows across systems, APIs, and third-party...Remote workHourly payFull timeContract work- ...ensure the accuracy of automated workflows. Acting as a subject matter... ...resolutions while ensuring compliance with operational standards... ..., or data operations within health plan or TPA systems. ~ Solid... ...support resources. ~ Flexible, remote-first work environment. ~...Remote jobHealth InsuranceFull timeTemporary workFlexible hours
- ...Specialist Team Lead. This position allows remote work and requires candidates to guide and train foreclosure staff while ensuring compliance with laws and company policies. Ideal... ...comprehensive benefits, including healthcare plans, a 401(k) match, and educational...Remote workHealth Insurance
- ...through final determination in a fully remote contract role, ensuring compliance with regulatory requirements and... ...member appeals in a healthcare, health plan, managed care, or insurance... ...timelines and compliance-focused workflows Proficient with Microsoft Outlook...Remote workHealth InsuranceContract work
$78k - $82k
...currently looking for a Compliance Analyst, Privacy in... ...protection of sensitive health information across multiple... ...and external health plan partners. The position... ...highly collaborative and remote-friendly environment, you... ...processes, tools, and workflows, including incident...Remote jobHealth InsuranceFull time$124k - $211k
...leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead their underwriting team. This remote role involves developing pricing strategies, overseeing workflow, and ensuring compliance with procedures. Candidates should bring substantial...Remote workHealth Insurance- ...including requirements gathering, process mapping, and compliance assurance. Candidates should have 5–10 years of... ...degree. Competitive benefits include flexible hours and health insurance. This position allows for remote work and is open for ongoing applications. J-18808-...Remote workHealth InsuranceFlexible hours
$15 per hour
...surgeries and procedures, home health, out of network... ...workers compensation health plan coverage guidelines.... ...to create smooth workflows and transitions of information... ...0pm Opportunity for remote work after 6 months on-... ...and training. In compliance with the ADA Amendments...Remote workHealth InsuranceHourly payFull timeWork experience placementLocal areaImmediate startMonday to FridayFlexible hours$104k - $109k
...Columbus, OH Work Model: Remote Compensation: $104-109k... ...needs and requirements, creates workflows and visual documentation, supports... ...• Support consistent use of BA standards, templates, and... ...maintaining a strong focus on quality, compliance, and long-term relationships....Remote workHealth Insurance- ...Vice President, PBM Compliance & Regulatory Operations - Remote Role overview: Lead Liviniti’... ...obligations into operational workflows, controls, and audit-... ...response, corrective action plans, and ongoing risk... ...procedures; operationalize health privacy regulations into...Remote workHealth InsuranceImmediate startWeekend work
$190k - $200k
...Employee Benefits Compliance Attorney Built on meritocracy, our unique... ...the Affordable Care Act, the Health Insurance and Portability and... ...health & welfare benefit plan. Work closely with the Vice... .... ~ Ability to manage workflow and are able to communicate with...Remote workHealth InsuranceHourly payLocal area- ...required *This is a remote position with occasional... ...The Business Analyst (BA) will serve as the liaison... ...with program goals, compliance standards, and DOE operational... ...process models, workflow diagrams, data maps, and... ...Portal). Support release planning, sprint grooming, and...Remote workHealth InsuranceTemporary workWork experience placement
- ...Credentialing Specialist - Payer Enrollment & Health Plan Experience Full-Time Contract • Remote (United States) • US Citizenship Required POSITION... ...demands deep expertise in payer enrollment workflows, regulatory compliance, and multi-payer coordination, with the...Remote workHealth InsuranceFull timeContract work
$96.33k - $208.71k
...stored on databases, and adherence to health plan business and system requirements as it... ...plans, leads, and manages configuration workflow processes. Continuously identifies and... ...of configuration. Ensures team compliance with applicable federal/state regulations...Remote workHealth InsuranceContract workWork experience placementWork at office- ...intersection of legal and compliance, with a strong focus on European... ...applying AI tools in daily workflows (beyond basic ChatGPT usage... .... ~ Comprehensive health insurance plans. ~ Maternity & Paternity... ...Flexible work schedule and remote work options. ~ Modern offices...Remote workHealth InsuranceWork at officeFlexible hours
- ...defined benefit pension and health plans. They serve a diverse group... ...(3 days in office / 2 days remote) ~ Opportunities for... ...that actuarial valuations, compliance filings, consulting analyses... ...opportunities in streamlining workflows, improving documentation, evaluating...Remote workHealth InsuranceWork at office
- ...strategic and experienced compliance professional to lead... ...to enhance compliance workflows and solve complex... ...activities, builds contingency plans and executes... ...years of experience in health care compliance and/or... ...members. BCBST is a remote-first organization with...Remote workHealth InsuranceContract workWork experience placementWork at officeWork from homeRelocation package
- ...prioritize tasks and manage workflow of litigation matters.... .... Review bankruptcy plans for the treatment of... ..., professionalism, and compliance with the Fair Debt Collection... ..., and Thursdays and remote on Mondays and Fridays... ...Comprehensive Benefits: Health insurance, retirement...Remote workHealth InsuranceFull timeContract workMonday to FridayFlexible hours
$175k - $210k
...legal strategist and compliance leader across a multi-... ...preferred, exceptional remote candidates will be considered... ...considerations into planning, budgeting, and... ...internal legal systems, workflows, and compliance infrastructure... ...match) ~ Health Care Plan (medical, dental...Remote workHealth InsuranceFull timeRelocation package- ...Systems Analyst 100% Remote Willing to working during... ...HIX system. Ensure compliance with applicable laws... ...use cases, and process workflows. ~ Experience translating... ...to work on New Mexico Health Insurance Exchange... ...Should have played BA role before in Healthcare...Remote workHealth InsuranceContract work
$150k - $180k
...of Investment Adviser Compliance to join our team. The Director... ...; develop action plans and responses Identify... ...internal processes and workflow Qualifications... ...members Location/Remote Work Candidates who... ...Employee Benefits ~ Health Insurance - we cover 10...Remote workHealth InsuranceWork at officeLocal areaWork from homeFlexible hours3 days per week- ...defined benefit pension and health plans. They serve a diverse group... ...(3 days in office / 2 days remote) ~ Opportunities for... ...ensure accuracy, regulatory compliance, and consistency across deliverables... ...in operations—streamlining workflows, improving documentation,...Remote workHealth InsuranceWork at office
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