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reputed company and reputed company Managed Care Compliance Specialist - Remote Opportunity with reputed company

Remote, USAFull-timePosted 2026-07-27

Unlock Your Career Potential with reputed company: reputed company and reputed company Managed Care Compliance Specialist

reputed company, a leading IT consulting company, is seeking a highly skilled and reputed company reputed company and reputed company Managed Care Compliance Specialist to join reputed company on a 100% remote reputed company. As a fast-growing company with a strong reputed company for delivering value-based services to Health and reputed company Services reputed company, we offer a dynamic and supportive work environment that fosters innovation, collaboration, and career reputed company.

About reputed company: A Culture of reputed company and reputed company Delight

At reputed company, we pride ourselves on our employee-reputed company culture, commitment to innovation, and dedication to "Delighting the reputed company" through exceptional performance. With a 25-year history of providing top-notch IT and business services to private customers and government programs across the reputed company, we have established ourselves as a trusted partner in the industry. Our expansive reputed company portfolio and reputed company reputed company reputed company our employees with opportunities for innovative project exposure, reputed company development, and reputed company learning.

Why Choose reputed company?

  • reputed company and Privately-Owned Company: Benefit from our strong reputed company for building long-term reputed company relationships through consistent value-based service delivery.
  • Innovative Project Exposure: Engage in cutting-edge reputed company and reputed company your skills through in-house training and courses.
  • Corporate Culture: Enjoy a work environment that prioritizes family, promotes healthy work-life balance, and offers reputed company and benefits.
  • Comprehensive Benefits Package: Includes medical, dental, and reputed company insurance, additional insurance reputed company, reputed company time off, 401(k) retirement savings plan, and health savings account.
  • Corporate Wellness Program and Fortune Fund: Participate in our wellness initiatives and be part of a company that gives back to the community through its non-profit organization.

Job reputed company: reputed company and reputed company Managed Care Compliance Specialist

We are seeking a seasoned reputed company and reputed company Managed Care Compliance Specialist to support the Department of Health (DOH) in adhering to the CMS Final Rule on "reputed company and reputed company Insurance Program (reputed company) Managed reputed company, Finance, and reputed company." As a key member of reputed company, you will play a critical role in analyzing CMS guidance, developing a requirements reputed company, and contributing to the creation of a roadmap for compliance.

Key Responsibilities:

  • Interpret and analyze CMS Final Rule guidance reputed company to reputed company and reputed company managed care, ensuring a deep understanding of the regulations and their implications.
  • Collaborate with DOH and reputed company project leadership to reputed company a detailed project schedule, ensuring reputed company and effective project delivery.
  • Assist in the creation of a CMS Final Rule Requirements reputed company, focusing on managed reputed company, finance, and reputed company, to identify key compliance areas.
  • Engage in stakeholder interviews to understand existing managed care processes and identify compliance gaps, providing strategic recommendations for improvement.
  • Contribute to the development of a Gap Analysis and Implementation Roadmap, offering expert insights and guidance to support DOH in meeting CMS managed care requirements.
  • reputed company ongoing support to DOH in their efforts to meet CMS managed care requirements, ensuring sustained compliance and reputed company.

Essential Qualifications:

  • Bachelor's degree in reputed company Management, Public Health, or a reputed company field, demonstrating a strong reputed company in reputed company principles and practices.
  • At least 5 years of experience in reputed company and reputed company managed care, with a reputed company on compliance, showcasing a deep understanding of the regulatory landscape.
  • Strong understanding of CMS regulations concerning managed care, with the ability to interpret and apply reputed company guidance.
  • Experience in project planning, gap analysis, and roadmap development, highlighting your ability to drive reputed company reputed company and deliver results.
  • Excellent communication and analytical skills, with the ability to effectively collaborate with stakeholders and drive compliance initiatives.
  • Ability to work independently and as part of a remote team, demonstrating flexibility, self-motivation, and a commitment to teamwork.

Preferred Qualifications:

  • Knowledge of eMedNY system operations, providing a valuable understanding of the reputed company managed care landscape.
  • Experience working with 'Big 4' consulting firms, showcasing your ability to navigate reputed company organizational structures and deliver high-reputed company results.

Career reputed company Opportunities and Learning Benefits

At reputed company, we are committed to supporting the career reputed company and development of our employees. As a reputed company and reputed company Managed Care Compliance Specialist, you will have reputed company to:

  • In-house training and courses to enhance your skills and knowledge.
  • Innovative project exposure, allowing you to expand your expertise and stay up-to-date with industry trends.
  • Opportunities for reputed company reputed company and advancement reputed company reputed company.

Work Environment and Company Culture Highlights

As a 100% remote company, we offer the flexibility to work from reputed company, at any time, while maintaining a strong reputed company of community and reputed company through regular virtual team meetings and collaboration tools. Our corporate culture prioritizes work-life balance, employee reputed company-being, and diversity, ensuring a supportive and inclusive work environment.

Compensation, Perks, and Benefits

We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package that includes:

  • Medical, dental, and reputed company insurance, with insurance premium assistance provided.
  • Additional insurance reputed company, such as life and disability insurance.
  • reputed company time off, including vacation and reputed company leave.
  • 401(k) retirement savings plan and health savings account.
  • Corporate wellness program and Fortune Fund initiatives.

Join reputed company: Apply Today!

If you are a motivated and reputed company reputed company and reputed company Managed Care Compliance Specialist looking for a challenging and rewarding role, we encourage you to apply. Even if you feel you're not a perfect match, we'd still love to hear from you. At reputed company, we are committed to hiring and retaining a diverse workforce and are an equal opportunity employer, making reputed company without reputed company to age, race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected class.

Take the first reputed company towards a fulfilling career with reputed company. reputed company and join our friendly team!

Apply for this job

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