Related skills
data analysis project management regulatory compliance ncqa mhpaea📋 Description
- Lead end-to-end cross-functional implementations with project plans and stakeholders
- Analyze data and metrics to assess departmental performance and mitigation
- Coordinate with stakeholders to interpret/apply evolving regulations in UM
- Manage regulatory requests for UM (exams, filings, license renewals, MHPAEA)
- Coordinate NCQA deliverables for UM standards
- Draft and refine UM policies and procedures to ensure compliance
🎯 Requirements
- A bachelor’s degree or 3+ years commensurate experience
- 3+ years in healthcare Utilization Management ops or related field
- 2+ years in regulatory compliance activities (MHPAEA, market exams, license renewals, NCQA)
- 2+ years in end-to-end project management or process improvement
- 2+ years in regulatory implementation and compliance
- 2+ years in designing and improving workflows and related procedures
🎁 Benefits
- Medical, dental, and vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Unlimited vacation program
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