Jobs in the United States

25+ jobs

Save this search

Added just now
T
Technical Program Manager (New Platform/Application Development)
TEKsystems
Boca Raton, FL
- $80 to $90 USD / hour
…Strong understanding of APIs, system integrations, and how applications interact, with the ability to coordinate engineers, architects, vendors, and testing teams to deliver a scalable…
Added just now
T
Sap Migration Specialist
TEKsystems
Carol Stream, IL
- $45 to $70 USD / hour
Added just now
T
Senior Data Engineer
TEKsystems
Farmington Hills, MI
- $75 to $82 USD / hour
…secure data solutions for enterprise Wealth and Asset Management applications. You will maintain and enhance existing ETL processes, migrate data pipelines into a new environment, and…
Added just now
T
Epic Beacon Analyst
TEKsystems
Roanoke, VA
- $100,000 to $115,000 USD / year
Added just now
T
Software Engineer/Clinical Informatics
TEKsystems
Chicago, IL
- $50 to $70 USD / hour
…experience. In this role, you will work within the award-winning Applications team to design, build, and deploy software and data solutions to support large-scale analysis of real-world…
Added just now
TP
Associate Sales Representative - Baton Rouge/Lafayette
Tris Pharma Inc
Baton Rouge/Lafayette, LA
- $65,000 to $85,000 USD / year
…needs. We have over 150 US and International patents - including applications - and several marketed branded and generic products in the U.S. We have licensed our products in the US and…
Added just now
Associate Director, Biostatistics
E.R. Squibb & Sons,L.L.C.
Princeton, NJ · Seattle 400 Dexter, WA · Brisbane, CA · Cambridge Crossing, MA
Added just now
Associate Director, Global Medical Affairs, US Iberdomide
Celgene - Summit (Corp)
Giralda, NJ · Princeton, NJ
Added just now
Manager, Manufacturing
JuN - Seattle Dexter
Bothell, WA
Added just now
T
Data Management Analyst
TEKsystems
Charlotte, NC
- $65 to $75 USD / hour
…controls, and system functionality within STARE and related applications. The analyst will partner with business, technology, data, governance, and upstream teams to identify opportunities…
Added just now
T
HL7 FHIR Data Engineer (W2 ONLY)
TEKsystems
Dallas, TX
- $41 to $49 USD / hour
API Development: Develop custom APIs to enhance interoperability between different healthcare software applications.
Added just now
T
IT Technical Program Manager
TEKsystems
Honolulu, HI
- $110,000 to $120,000 USD / year
Extensive experience (10+ years) in SAP and SAP-related information systems or applications.
Added just now
T
Middleware Engineer
TEKsystems
Sioux Falls, SD
- $100,000 to $135,000 USD / year
Improve middleware platform reliability, performance, and scalability across enterprise applications.
Added just now
T
Project Manager, Wireless Site Development/Site Acquisition
TEKsystems
Phoenix, AZ
- $55 to $75 USD / hour
Added just now
UO
Entry Laboratory Research Services Professional
University of Colorado Denver
Aurora, CO
- $47,811 to $64,067 USD / year
Added just now
UO
Program Manager, Marketing & Growth
University of Colorado Denver
Aurora, CO
- $65,105 to $87,241 USD / year
Added just now
UO
Program Manager, Communications, Brand & Design
University of Colorado Denver
Aurora, CO
- $65,105 to $87,241 USD / year
Added just now
EP
#2600520 Executive Director - Facilities
El Paso County
Colorado Springs, CO
- $160,000 to $181,390 USD / year
Please be advised this position may close without advance notice, should we receive a sufficient number of qualified applications.
Added just now
UO
Research Services Intermediate-Principal Professional - Regulatory Affairs Coord
University of Colorado Denver
Aurora, CO
- $57,525 to $77,083 USD / year
Added just now
UO
Research Associate / Senior Research Associate
University of Colorado Denver
Aurora, CO
- $40,123 USD / year
Added just now
UO
Functional Reconstructive Urologist (FRU)- Open Rank
University of Colorado Denver
Aurora, CO
- $225,000 to $396,000 USD / year
Added just now
UO
Periodontics Program Coordinator (Entry and Intermediate)
University of Colorado Denver
Aurora, CO
- $45,017 to $60,323 USD / year
Added just now
UO
Graduate Contracts and Finance Coordinator
University of Colorado Denver
Denver, CO
- $63,000 to $65,846 USD / year
Applications are accepted electronically ONLY at
Added just now
UO
Temporary Administrative Assistant
University of Colorado Denver
Aurora, CO
- $25 to $30 USD / hour
…understanding of full-cycle dental patient life-cycles. We welcome applications from individuals who are collaborative, communicative, caring, detail oriented, organized, proactive, able to…
Added just now
UO
Grants and Center Administrator
University of Colorado Denver
Aurora, CO
- $40,123 USD / year

Amerihealth Caritas

Regulatory Reporting Specialist Bus

United States

Apply About employer

Applications open in a new tab.

Job details

Experience: Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience.
Posting language: English
Posted: Nov 9, 2026

Original job description

Role Overview:

The Regulatory Reporting Specialist - Business is responsible for ensuring that all state reporting requirements are identified and interpreted and a business solution is developed while ensuring accurate and timely compliance with all state reporting requirements/deadlines.

Work Arrangement:

This role is remote within the United States for candidates located in the Eastern or Central time zones.

Responsibilities:

Provides leadership and oversight in the development and implementation of business and technical solutions utilized to complete reporting requirements while ensuring that the report completion process remains both accurate and efficient.
Through report review or verification process, identifies and implements process or system enhancements that may lead to improved data integrity, efficiencies, or consistencies. Identifies appropriate internal or external contacts and coordinates the development of work groups and plans of action to ensure successful resolution and implementation of enhancements identified.
Participates in inter-departmental teams to ensure that Regulatory Reporting needs are communicated and data is not compromised when business procedures are modified and, if affected, works with the team to develop alternate solutions to ensure data integrity is not impacted.
Develops and maintains a strong working relationship with regulatory agencies, joint venture contacts or subcontractors by attending required meetings and/or on-site visits.
Proactively maintains relationships with plan and/or ASA/MSA customers to ensure their Regulatory Reporting requirements are met. Acts as a resource to local office management regarding Regulatory matters.
Reviews and approves reporting, presents reporting, and obtains necessary approvals from the Director, Regulatory Reporting, or other business owners as required.
In conjunction with the Director of Regulatory Reporting, develop and implement a formalized Regulatory Reporting staff training program. Training to include the development and maintenance of a procedure and reference manual, formalized group training plan for new staff and ongoing training of existing staff on new policies/procedures and reporting requirements.
Reviews, researches, and coordinates prompt responses to correspondence and inquiries from stakeholders, clients, or regulatory agencies.
Develops and maintains a strong knowledge of all data sources (including, but not limited to, the Data Warehouse, the Facets System, and the Reports Database) available for reporting.
Reviews, researches, and interprets Request for Proposals (RFPs) and other contractual agreements to ensure effective identification of all regulatory requirements. Related issues are identified, escalated, and resolutions or workaround plans formulated.
Ensures the Director of Regulatory Reporting is informed of reporting compliance and related issues via weekly status updates, ad-hoc discussions/meetings, or written correspondence.
Oversees the testing of each reporting solution developed to ensure the accuracy of the data reported.
Works with staff to ensure that the report completion criteria and process are documented in a user-friendly manner.

Education and Experience:

Bachelor’s Degree in Business, Finance, Information Systems, or a related field preferred
6 years of Data Analysis, Reporting, Claims, Managed Care, or Healthcare environment required.
2 years of Project Management preferred.
Proficiency in Microsoft Access, Excel, Word, and Relational Database Design.
Basic knowledge of SQL or VBA programming preferred.
Thorough understanding of business computer programs, applications and systems, database structures, and data files required.

Skills:

Ability to train staff in all aspects of Regulatory Reporting and to provide continued updates as policies and procedures change.
Complete understanding of reporting or data analysis processes.
Strong communication (both written and verbal), analytical, and problem-solving skills.
Strong organizational skills with the ability to coordinate several projects simultaneously.
Understanding of claims processing, clinical coding, and basic business practices is preferred.

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement

Apply About employer

Report this job