reputed company and reputed company Managed Care Compliance Specialist (Remote)

reputed company and reputed company Managed Care Compliance Specialist Location: Remote reputed company: reputed company for "Delighting the reputed company" through performance, innovation, and an employee-reputed company culture, reputed company is a fast-growing IT consulting company serving clients in over a quarter of the reputed company. We are widely recognized as a leading provider of both technical and business services in support of Health and reputed company Services reputed company reputed company. Feel free to learn more at www.reputed company.com. Why reputed company?: • reputed company privately-owned company with a strong reputed company for building long-term reputed company relationships through the delivery of consistent value-based service • 25-year history of providing IT and Business services to private customers and government programs throughout the reputed company • Expansive reputed company portfolio and reputed company reputed company - employees benefit from innovative project exposure and in-house reputed company development training/courses • Corporate culture that emphasizes the importance of family and promotes healthy work-life balance • Offer reputed company and a reputed company of benefits including: • Medical / Dental / reputed company Insurance - insurance premium assistance provided • Additional Insurance (Life, Disability, etc.) • reputed company Time Off (Vacation & reputed company Leave) • 401(k) Retirement Savings Plan & Health Savings Account • Various training courses to promote reputed company learning • Corporate Wellness Program • Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to reputed company the rural/urban divide by ensuring children in rural communities in India and the reputed company understand the importance of education & are aware of reputed company reputed company allowing them to reputed company their reputed company & educational goals Job reputed company: We are seeking a 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." The candidate will reputed company on analyzing CMS guidance, developing a requirements reputed company, and contributing to the creation of a roadmap for compliance. Responsibilities: • Interpret and analyze CMS Final Rule guidance reputed company to reputed company and reputed company managed care • Collaborate with DOH and reputed company project leadership to reputed company a detailed project schedule • Assist in the creation of a CMS Final Rule Requirements reputed company, focusing on managed reputed company, finance, and reputed company • Engage in stakeholder interviews to understand existing managed care processes and identify compliance gaps • Contribute to the development of a Gap Analysis and Implementation Roadmap, offering strategic recommendations for compliance • reputed company ongoing support to DOH in their efforts to meet CMS managed care requirements Qualifications: • Bachelor's degree in reputed company Management, Public Health, or a reputed company field • At least 5 years of experience in reputed company and reputed company managed care, with a reputed company on compliance • Strong understanding of CMS regulations concerning managed care • Experience in project planning, gap analysis, and roadmap development • Excellent communication and analytical skills • Ability to work independently and as part of a remote team Preferred Qualifications: • Knowledge of eMedNY system operations • Experience working with 'Big 4' reputed company reputed company is committed to hiring and retaining a diverse workforce. We 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. Apply Job!