Regulatory Compliance Analyst IV Workers Compensation - Myrtle Point - CareCentrix

    CareCentrix
    CareCentrix Myrtle Point

    1 day ago

    Description

    Why consider this job opportunity

    • Salary up to $120,000 plus corporate bonus incentive
    • Comprehensive benefits package including Medical, Dental, Vision, 401(k) with company match, and Paid Time Off
    • Opportunity to work in an award-winning culture that emphasizes company values
    • Engage in continuous improvement efforts that impact operational efficiency and compliance
    • Potential for career advancement and professional development within the organization

    What to Expect (Job Responsibilities)

    • Monitor and track federal and state laws impacting the employer's operations, preparing communications for affected business areas
    • Provide cross-functional support in developing and implementing policies and procedures to ensure legal compliance
    • Secure and maintain required operational licenses
    • Identify continuous improvement opportunities for compliance tracking and reporting
    • Train and mentor new team members in the Compliance Department

    What is Required (Qualifications)

    • Minimum of 7 years of experience in a managed care setting with knowledge of laws impacting workers compensation, auto, and/or commercial health insurers
    • Bachelors degree preferred; JD or paralegal experience is a plus
    • Expertise in regulations related to utilization management, claims, and network management
    • Proficiency in MS Office Suite, including Excel and PowerPoint
    • Strong organizational, analytical, and communication skills with attention to detail

    How to Stand Out (Preferred Qualifications)

    • Experience in regulatory affairs and operations of HMOs or managed care organizations
    • Advanced legal research skills
    • In-depth knowledge of state and federal guidelines governing managed health care
    • Ability to operate with a high degree of autonomy and sound judgment in decision-making

    We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

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