[Remote] Analyst IV – Regulatory Compliance – Workers Compensation, Auto & Commercial

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. CareCentrix is focused on regulatory compliance in the healthcare sector, and they are seeking an Analyst IV to monitor and ensure compliance with federal and state laws impacting their workers compensation, auto, and commercial programs. The role involves supporting legal requirements, continuous improvement efforts, and providing training and guidance within the Compliance Department. Responsibilities • Monitor and track federal and state laws and guidance impacting CareCentrix's workers’ compensation, auto, and commercial program operations, analyze the information, and prepare and circulate written and verbal communications to affected business areas regarding such laws • Provide cross functional support, guidance, and direction in the development of policies, procedures, and other operational changes necessary to comply with legal requirements and support the operational areas in the implementation of such policies, procedures, and other changes as required • Secure and maintain required operational licenses • Assist in the implementation of new CareCentrix workers’ compensation, auto and commercial program customers • Identify continuous improvement efforts to ensure effective compliance tracking, trending, and reporting tools • Perform internal audits as needed and identify opportunities for improvement • Develop and deliver training programs to ensure a clear understanding of compliance requirements • Train and serve as mentor to new and other junior Compliance Department regulatory team members Skills • Bachelor's degree preferred; or a minimum of 7 years of experience in a managed care setting working with laws impacting workers' compensation, auto, and/or commercial health insurers and delegated entities • Expertise in regulations related to utilization management, claims, network management, and credentialing • Demonstrated experience in regulatory affairs and/or operations of HMOs, managed care organizations, and other insurers • Proficiency in MS Office Suite (Excel, SharePoint, PowerPoint, OneNote) • Advanced legal research skills, strong organizational and analytical abilities, excellent written and verbal communication and presentation skills, and attention to detail • In-depth knowledge of state and federal guidelines and regulations governing workers' compensation, auto, and/or commercial managed health care • Travel: up to 10% as needed • Legal Background: JD or paralegal experience preferred Benefits • Medical • Dental • Vision • 401(k) with company match • HSA employer contributions • Dependent Care FSA employer contribution • Paid Time Off • Personal/Sick Time • Paid Parental Leave • And more. Company Overview • CareCentrix is a home health center that offers post-acute care, home infusion, and serious illness care services. It was founded in 1996, and is headquartered in Hartford, Connecticut, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Senior Staff Technical Solutions Consultant – Generative AI and Cloud Computing Expert for Strategic Partnerships and Technical Leadership

Remote

**Experienced Bookkeeping Software Customer Support Specialist – Remote Opportunity at blithequark**

Remote

[Remote/WFM] Venture Capital Marketing Associate

Remote

Manager, Sales Development

Remote

**Experienced Full Stack Data Scientist – Web & Cloud Application Development**

Remote

Experienced Customer Service Representative for Remote Work Opportunity with blithequark – Delivering Exceptional Client Experiences through Empathy, Knowledge, and Efficiency

Remote

**Data Scientist (L5) - Customer Service at blithequark**

Remote

Associate, Cross-Channel Planning

Remote

**Experienced Data Entry Analyst – Consistency Group at blithequark**

Remote

FedEx Entry-Level Remote Jobs – (Apply Today)

Remote
← Back