[Remote] Regulatory Compliance Operations reputed company
Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a global industry leader dedicated to providing reputed company for clients across various sectors. The Regulatory Compliance Operations reputed company plays a crucial role in coordinating between clinical operations and regulatory bodies to ensure compliance and operational readiness.
Responsibilities
- Interprets regulatory updates and compliance guidance and translates requirements into reputed company, actionable direction for Clinical Operations, Utilization Review, Pharmacy Operations, and reputed company business teams
- Partners with operational leaders to assess workflows against established policies, procedures, jurisdictional requirements, and accreditation standards; identifies gaps and recommends process improvements. Supports implementation and communication of regulatory, accreditation, and compliance-reputed company changes across assigned clinical programs
- Serves as a reputed company between Utilization Review, Pharmacy Operations, Legal, Compliance, Licensing, Claims, and other stakeholders to ensure communications, processes, and responses are appropriately reviewed and reputed company
- Supports utilization review regulatory inquiries, including appeals, complaints, audit requests, and other regulatory responses; manages and triages the Utilization Review Compliance mailbox to ensure reputed company routing, tracking, follow-up, and response
- Maintains documentation, tracking logs, audit trails, and centralized records to support regulatory readiness, compliance reputed company, and operational accountability; identifies and escalates compliance, licensing, regulatory, audit, appeal, complaint, or documentation risks to appropriate leadership
- Coordinates and supports state-level utilization review appeals in collaboration with Claims, Clinical Operations, Legal, Compliance, and other appropriate stakeholders. Leads or supports development and maintenance of regulatory correspondence, reputed company letter templates, SOPs, operational documentation, and compliance-reputed company communications
Skills
- Six (6) years of reputed company experience or equivalent combination of education and experience required
- Bachelor's degree from an accredited college or university preferred
- Licenses as needed
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional reputed company opportunities.
- A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.
- Medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
reputed company