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Remote Clinical Compliance Regulatory Specialist

Company: VirtualVocations
Location: Bronx
Posted on: September 22, 2022

Job Description:

A not-for-profit health insurer has a current position open for a Remote Clinical Compliance Regulatory Specialist.

Core Responsibilities of this position include:
Supporting the Medical Policy and Clinical Utilization Management governance committees and workgroups
Facilitating the medical policy process, including developing new policies
Formatting medical policies, collaborating with stakeholders
Qualifications Include:

High School Diploma or GED equivalent from an accredited institution
Previous compliance experience within a managed care environment
Familiarity with medical terminology
Knowledge of CMS and/or New York State DOH regulations
Experience working in a fast-paced environment that requires adapting to change
Work experience requiring effective communication verbally and in writing

Keywords: VirtualVocations, New Rochelle , Remote Clinical Compliance Regulatory Specialist, Healthcare , Bronx, New York

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