Related skills
data analysis process improvement project management workflow design regulatory compliance📋 Description
- Lead end-to-end cross-functional implementations and projects
- Collect, analyze data; develop departmental metrics and mitigations
- Collaborate with internal/external stakeholders on regulations
- Coordinate regulatory requests (exams, licenses, MHPAEA)
- Manage NCQA deliverables for UM standards
- Draft UM policies and procedures to ensure compliance
🎯 Requirements
- Bachelor's degree or 3+ years commensurate experience
- 3+ years in healthcare Utilization Management or related field
- 2+ years supporting regulatory compliance (MHPAEA, market exams, licenses, NCQA)
- 2+ years in end-to-end project management or process improvement
- 2+ years in regulatory implementation and compliance
- 2+ years designing workflows and enabling operating procedures
🎁 Benefits
- Medical, dental, and vision benefits
- Unlimited vacation program
- 11 paid holidays
- Paid parental leave
- 401(k) plan participation, life and disability insurance
- Annual performance bonuses
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