Remote Regulatory Analyst — Health Care Compliance & Audits
PRIME Therapeutics
- Remote job
Prime Therapeutics, a leading PBM, is seeking a Regulatory Analyst to lead portions of regulatory assessment, audits and accreditation across CMS, NCQA, Medicaid and Health Insurance Marketplace. This remote role collaborates with internal teams and external partners to ensure compliance and quality in utilization and medication management. The ideal candidate has a Bachelor's in business/health services and at least three years in PBM/compliance, strong communication, attention to detail, and #J-18808-Ljbffr PRIME Therapeutics
- ...Leading regulatory assessments and external audits, the full-time remote Regulatory Analyst will serve as the primary contact for internal... ...degree in business, finance, health services, or a related field... ...experience in PBM, healthcare, or compliance roles Eligibility to work...Remote workFull timeVisa sponsorshipWork visa
- ...International Community Health Services (ICHS)... ..., and wellness care to individuals... ...Quality and Compliance Officer, the... ...and Compliance Analyst assists in... ...position leads audit readiness initiatives... ...with regulatory and contractual... ...possibility of remote work based on business...Remote workContract workWork experience placementWork at office
- Prime Therapeutics is seeking a Regulatory Analyst to oversee regulatory assessment, external audits, and accreditation across CMS,... ...to ensure timely, accurate compliance documentation. The role emphasizes... ...of compliance status. Remote work options are available with...Remote job
- Prime Therapeutics is seeking a Regulatory Analyst to lead regulatory assessments, audits, and accreditation activities across... ...NCQA, and other programs. This remote role collaborates with internal... ...and external partners to ensure compliance and documentation readiness for...Remote job
- Prime Therapeutics is seeking a Sr Regulatory Analyst (Remote) to lead regulatory review, audits, and accreditation processes across Commercial, Medicare, Medicaid, and Health Insurance Marketplace programs. You will serve as the primary contact for internal and external...Remote job
- ...a leading PBM, seeks a Senior Regulatory Analyst (Remote) to lead regulatory reviews, audits, and accreditation processes across... ..., Medicare, Medicaid, and Health Insurance Marketplace programs.... ...functional collaboration to ensure compliance and timely delivery of...Remote job
$65k - $75k
...Audit and Coding Specialist Westminster, Colorado... ...providing exceptional mental health outcomes? Community... ...a lasting impact, and caring for our team on a... ...assigned projects, reviewing compliance standards to maintain... ...Schedule: M-F 8-5 flexible remote working conditions will...Remote workWork at officeFlexible hoursShift work$60.2k - $107.4k
...'re simplifying the health care experience, creating... ...everything we've got. As a Regulatory Affairs Analyst, you will be an... ...of a hybrid-remote role as you take on... ...report generation, audits, corrective action plan... ...regulatory affairs and/or compliance Preferred...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal area- ...for a Full Time Regulatory Analyst 1 to work at the... ...conducts on-site audits and reviews consolidated... ...of research compliance.4. Provides support... ...Cancer Center. Remote option is available... ...of Miami Health System, South Florida... ...leading-edge patient care powered by the...Remote workFull timeContract workTemporary workWork at officeLocal areaWorldwide
- ...healthcare management firm is seeking an RN Care Management Coordinator - Compliance Specialist to ensure compliance... ...regulations and standards. This remote position requires a minimum of five... ...involves conducting compliance audits and supporting NCQA-related operations...Remote job
- Prime Therapeutics is seeking a Senior Regulatory Analyst (Remote) to lead regulatory review, audits, and accreditation activities across Commercial, Medicare, Medicaid, and Marketplace programs. The role serves as the primary contact for internal and external partners...Remote job
- HCSC is seeking a Sr Medicare Regulatory Analyst to investigate and resolve high-profile Medicare Part D complaints, ensuring CMS regulatory compliance and supporting audits. The role involves coordinating recalls, access-to-benefits processes, and cross-department collaboration...Remote job
- ...infrastructure provider is seeking a Senior Compliance Analyst to oversee a robust legal framework... ...healthcare regulations. This fully remote position covers all 50 states and involves monitoring regulatory changes, conducting audits, and supporting Brand Partners. Ideal...Remote job
- Prime Therapeutics is seeking a Sr Regulatory Analyst to lead regulatory review, audits, and accreditation efforts across... ..., and Marketplace programs. This remote role focuses on coordinating... ...candidates will have 5+ years in PBM or health insurance, Medicare/Medicaid...Remote job
- ...Delegated Credentialing Specialist (Remote) to join our team! The... ...must comply with all legal and regulatory policies and procedures. ~Adhere to NCQA guidelines. ~Audit Provider Licensure Files to NCQA... ...transforming dental care. ~Collaborate with a passionate...Remote workFull timeWork at office
- Job Description Regulatory Accreditation Specialist (260002B8)... ...healthcare services by performing audit activities across the... ...safety, regulatory compliance and quality of care are audited for current adherence... ..., 33601 Eligible for Remote Work Hybrid Remote Schedule...Remote workFull timeWork at officeMonday to Friday
$81k - $138k
...unique ability to connect care for those we serve.... .... Job Posting Title Regulatory Analyst Sr (Remote) Job Description The... ...analysis, external audits and accreditation processes... ..., Medicaid, and Health Insurance Marketplace... ...Government Programs Compliance Committee Meetings to...Remote jobWork experience placementLocal areaVisa sponsorshipWork visa$40k - $45k
...UtiliSave's forensic billing analysts find actionable savings... ...% of the accounts they audit — including clients who... ..., rider provisions, regulatory codes, and client usage... ...· Full-time remote; core hours 9:00 AM – 6... ...creativity of your claims. o Health, dental, and vision...Remote workFull timeApprenticeshipInternshipShift workDay shift- ...Title : Supplier Material Compliance Data Collection Specialist Location : Remote Job Type : Contract (2 Years) Compensation : $25 -... ...on accurate supplier material data to meet regulatory requirements, maintain audit readiness, and support product lifecycle needs...Remote workContract workTemporary work
$97.6k - $137.25k
...Description: This role will report into the Director of Internal Audit and SOX Compliance within the Finance organization and is integral to the... ...internal departments and geographies and working with remote colleagues and stakeholders.Self-motivated with the ability...Remote workFull timeWork at office- ...Board Certified Behavior Analyst (BCBA) to serve in a Compliance and Quality Assurance role... ...ethical service delivery, and audit readiness. This... ...within an ABA or behavioral health EMR system Work Structure... ...Time Commitment Fully remote Contract (1099)...Remote workContract workTemporary workPart time10 hours per weekFlexible hours
- ...is in search of a seasoned Financial Compliance Specialist to join its growing team.... ...compliance issues.Handle compliance audits and engage with regulatory bodies as needed.Develop and... ...for work-life balance.Opportunity for remote work from a home office in Hawaii.Competitive...Remote workWork from homeHome officeFlexible hours
- International Community Health Services (ICHS) in... ...seeks a HAWP Quality and Compliance Analyst to oversee the... ...Living. You will manage audits, CAPs, PIPs, and HIPAA... ...strong background in regulatory affairs, risk... ...office with potential for remote work based on need....Remote workWork at office
$65 - $90 per hour
...Crossing Hurdles is offering a remote position as a Permit Expeditor, focused on reviewing... ...construction documents to ensure compliance with building codes. Ideal candidates should... ...depending on experience. This role involves auditing datasets, evaluating AI outputs, and...Remote workHourly pay$122 per hour
...Up to $122/hour Fully Remote or In-Person Flexible Schedule... ...virtual and in-person care for solo providers and... ...practice with insured mental health clients. What Headway... ...billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$122 per hour
...Up to $122/hour Fully Remote or In-Person Flexible Schedule... ...virtual and in-person care for solo providers and... ...practice with insured mental health clients. What Headway... ...billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours- ...To ensure accurate and compliant import operations, the full-time remote Trade Compliance Analyst will manage import entry audits, strengthen customs compliance processes, and collaborate with cross-functional teams to improve global trade operations. Key responsibilities...Remote workFull time
- ...Governance, Risk & Compliance (GrC) Analyst We're partnering with the world's leading AI research... ...'ve lived inside compliance programs, audits, and control assessments and can bring... ...Type: Hourly Contract Location: Remote Commitment: 10–40 hours/week What...Remote workHourly payOngoing contractContract workFreelanceFlexible hours
$120 per hour
...(PMHNP) $120-$210/hr | Remote | Flexible Schedule Pay... ...virtual and in-person care for solo providers and group... ...with insured mental health clients. What Headway... ...automated billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours- ...To support regulatory compliance efforts, the full-time Regulatory Compliance Specialist will establish... ..., conduct legal research, and monitor audits while enjoying the flexibility to... ...compliance role within government, legal, health care, managed care, or health insurance...Remote workFull time
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