Medicaid Certification & Compliance Specialist
247Hire
247Hire is seeking a Certification Specialist to support and drive the execution of the NC Medicaid MES certification strategy across projects in Raleigh, NC. The role partners with business leads, project teams, and vendors to ensure CMS criteria are met and certification activities stay on schedule. Responsibilities include maintaining the Certification Evidence Tracker, updating CMS artifacts, and drafting narratives for ORR/CRR evidence while coordinating with MITRE and internal stakeholders #J-18808-Ljbffr 247Hire
- ...Certification & Compliance Project Specialist- We are seeking Certification & Compliance Project Specialist with 5 years experience responsible... ...for supporting and driving the execution of the NC Medicaid Enterprise Systems certification strategy for each project...Suggested
- ...Job Title: Certification & Compliance Project Specialist (Remote) Location: Raleigh, NC Duration: 12 Months with possible extension... ...for supporting and driving the execution of the client Medicaid Enterprise Systems certification strategy for each project...SuggestedContract workRemote work
- ...This position is responsible for supporting and driving the execution of the NC Medicaid Enterprise Systems certification strategy for each project. The Specialist supports ongoing compliance activities including updating the Analysis of Alternatives document, the MES...SuggestedContract work
- Innosoft is seeking a Contract Manager for the NC Medicaid PDM/CVO Contract. The role acts as the single point of contact for contractor performance, ensuring compliance across DDI, Certification, and O&M phases. Remote-first with on-site Raleigh presence and a 5-year term...SuggestedRemote jobContract workFor contractors
- ABA Board in Raleigh, NC seeks a CCC Specialist I to support credentialing and continuing certification activities. The role requires handling ABA system inquiries, coordinating training, and maintaining accurate registration and licensure data. The position emphasizes...Suggested
- About the Role The Compliance Specialist supports Affordable Housing Solutions by ensuring properties remain fully compliant with Low-Income... ...recertifications across a multi-site portfolio. Industry certifications in LIHTC compliance are highly desirable....
- ...stores and commercial fueling centers. The Fleet Safety, Compliance, and Training Specialist provides safety management oversight for the SWTO... ...EXPERIENCE: 3+ years YEARS OF MANAGEMENT EXPERIENCE: NA CERTIFICATIONS / LICENSES: Certified Safety Professional (CSP) preferred...Hourly payWork experience placementLocal area
- ...or an alternative application process. Senior Reliability Compliance Specialist Professional East RTC - NC, Raleigh, NC, US 3 days ago... ...hour estimates for mock audits, program reviews, and self-certification projects. Monitoring NERC Standards Projects for potential...Work experience placement
- ...Intake Unit to interview applicants and process eligibility for Medicaid programs. You will collect data, verify information, and... ...communication, data analysis, and the ability to manage timetables for certification and recertification to ensure timely benefits for families....
$47.7k - $83.48k
...guidance to the Warden(s).- This position will coordinate internal compliance audits, safety and health audits and inspections and region... ...Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications...Work experience placementWork at officeTrial periodFlexible hoursNight shift- ...Bank in Raleigh, NC is seeking an ACH Specialist to ensure electronic payments are processed... ..., process transactions, and maintain compliance with NACHA rules and internal policies... ...problem-solving skills are required; AAP certification or willingness #J-18808-Ljbffr North...
- ...and Microsoft. Protecting Lucid and our users is core to our business. We’re looking for a highly analytical and cross-functional compliance professional to join our close-knit legal team working alongside our Director of Legal, Compliance and Litigation. The ideal...Immediate startRemote work
$80k - $105k
Piper Companies is seeking a Security Governance & Compliance Specialist to join a leading technology organization supporting highly regulated... ...professional experience; CDSE FSO training and CIPG/FSPG certifications are preferred. Compensation for the Security Governance &...Long term contract$55k - $85k
...to safely access roofs, attics, and crawlspaces Preferred Qualifications Construction or building trades background Additional certifications (radon, mold, termite, manufactured housing, etc.) Experience with inspection software (SPECTORA preferrably) Work Environment...Full timePart timeRemote workFlexible hours- Society of Wetland Scientists Professional Certification Program (SWSPCP) seeks a part-time, contract Executive Director to administer its professional certification programs and guide a transitioning organization. The role requires operational and administrative skill,...Remote jobContract workPart time
$148.2k - $292.3k
...care reform involving individual medical, small group, or state Medicaid markets The wage range for this role takes into account the... ...to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range...Local areaVisa sponsorship- ...Sumitomo Electric in Raleigh, NC seeks an Import Export Coordinator to manage export documentation, ensure regulatory compliance, and coordinate international shipments with brokers and carriers. The role requires 5+ years in international logistics, a Bachelor’s degree...
$60 - $80 per hour
...driven by our common purpose to deliver a better world. Join us. Job Description AECOM is seeking for an experienced Compliance Specialist for employment for full-time on-site support at Fort Bragg in North Carolina. The responsibilities include but are not...Full timeWork at officeLocal areaWorldwideRelocation packageFlexible hours- ...• BA/BS degree in a scientific, engineering, or healthcare discipline required; advanced degree (MS, PharmD, PhD) and/or PMP certification strongly preferred. • Minimum of 7 years of progressive experience in the pharmaceutical, biotechnology, or related life sciences...Work at officeRemote workWork from homeWorldwide
- ...Affordable Housing Solutions is seeking a Compliance Specialist to support LIHTC and regulatory compliance across a multi-site portfolio. This role emphasizes meticulous file review, risk identification, and collaboration with property teams in a mission-driven environment...
- Innosoft Corp. is seeking a Contract Manager for the NC Medicaid MES/MIMS program. The role governs performance, SLAs, and budgets, acting as the primary escalation point for contract matters and ensuring full adherence to regulatory requirements including HIPAA and data...Remote jobContract work
$88k - $108k
...Sr. Specialist, Compliance QA WHO WE ARE – Indivior is a global pharmaceutical company working to help change patients' lives by developing medicines to treat Opioid Use Disorder (OUD). Our vision is that all patients around the world will have access to evidence‑based...Shift work- ...Program Coordinator III for the Rural Health Transformation Program. The role focuses on designing, implementing, and overseeing the Medicaid Primary Care Capitation Pilot, coordinating with Regional Hubs and practices, and integrating pilot activities with broader...
- ...credentialing, strategic planning, compliance, and performance improvement... ...The Credentialing Services Specialist plays a vital role in... ...enrollment processes with Medicare, Medicaid, and commercial payers.... ..., including licensure, certifications, malpractice insurance, and...Work at officeFlexible hours
- ...Plasma Protein Therapeutics Association (PPTA) membership and certification, COLA accreditation, state/province requirements and ROW... ...management urgent and time-sensitive matters that impact regulatory compliance. Maintain files contemporaneously for transparency and...Work at office
$106.9k - $147k
...skills, knowledge, experience, education, certifications, etc. $106,900 - $147,000 per year... ...quality of life for people with Medicare and Medicaid, families, individuals, military... ...Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Technical Files and other international registrations. Ensure compliance to all US, EU and international requirements and company... ...affairs. Strongly prefer candidates with Regulatory Affairs Certification (RAC) from the Regulatory Affairs Professionals Society (RAPS...Full timeTemporary workMonday to FridayDay shift
- Grifols is seeking a Government Rebate Analyst II to manage end-to-end Medicaid rebate processes, validate data, and ensure timely submissions across federal, state, and supplemental programs. The role requires handling large data sets and interfacing with multiple internal...Contract work
- V-Soft Consulting Group is seeking a Project Manager/Medicaid Program Administrator (Remote) to lead contract development, governance, and oversight for Medicaid-related initiatives. The role involves coordinating across HIEA, Medicaid, and vendor staff to ensure program...Remote jobContract work
$50k - $55k
Responsibilities The SEVIS Data and Compliance Analyst will work to ensure NC State compliance... ...Other Duties (10%) Back up the Intake Specialist as needed during illness/vacation in... ...of training and experience License / Certification Must be a U.S. Citizen or Permanent...Permanent employmentTemporary workWork experience placementInterim roleMonday to Friday
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