Jobs in the United States

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Added 2 mins ago
IT Platform Admin
Excellus BCBS
Rochester, NY · Albany, NY · Buffalo, NY · Dewitt, NY · Utica, NY
Added 2 mins ago
MS
Vice President - Lead Software Engineer
MS Services Group, Inc.
NY
- $155,000 to $215,000 USD / year
Strong relational database and SQL skills, and solid Linux fundamentals.
Added 2 mins ago
TAK Developer
Booz Allen Hamilton_United States
McLean, VA
As a full-stack developer, you can resolve a problem with a complete end-to-end solution in a fast and agile environment. If you’re looking for the chance to not just develop software, but…
Added 2 mins ago
Cybersecurity Compliance and Risk Manager
Booz Allen Hamilton_United States
Tampa, FL · MacDill AFB, FL
Apply and verify DoW Security Technical Implementation Guidelines (STIGs) and Security Readiness Guidelines (SRGs) across software, database, and network environments.
Added 3 mins ago
Clinical Documentation Specialist
Ascension
Nashville, TN
Completes admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
Added 3 mins ago
Senior Full Stack Developer
Karsun Solutions
Herndon, VA
The Senior Full Stack Developer will provide hands-on technical leadership for the design, development, testing, deployment, maintenance, and enhancement of assigned software applications…
Added 3 mins ago
Older Adults Case Manager (Castle Hill YMCA)
Bronx, NY
Proficient in Microsoft Word and Excel, e-mail, internet, and database administration.
Added 4 mins ago
Associate - Software Development & Engineering
Charles Schwab
Southlake, TX
Understanding of database concepts, data modeling principles, and working with structured data environments.
Added 4 mins ago
Student Conduct Specialist
The Board of Trustees for the University of Northern Colorado
Greeley, CO
Utilize Maxient database for case management and tracking.
Added 4 mins ago
Project and Data Manager
Texas A&M University
College Station, TX
Added 4 mins ago
CO
Accounting Specialist
City of De Pere
De Pere, WI
- $26.9 to $38.43 USD / hour
Computer software including word processing, spreadsheet, database applications, accounting and specialized software consistent for this position.
Added 4 mins ago
SQL Server Database Administrator I
D.R. Horton, Inc.
Arlington, TX
D.R. Horton, Inc.*is currently looking for a SQL Server Database Administrator I. The right candidate will participate in keeping the the Companany's Mircosoft SQL Server database…
Added 4 mins ago
Lead Data Engineer
Wells Fargo
IRVING, TX
5+ years of Database Engineering experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Added 4 mins ago
Information Security Engineer Security Baseline Configuration
Wells Fargo
IRVING, TX
…configurations across infrastructure, cloud, network, operating system, database, and directory service…
Added 4 mins ago
RN Performance Excellence Consultant
St. Joseph's Hospital Health Center
United States
Peer Review: Coordination with Risk/ Safety to refer cases to physicians, support specific physician meeting groups and follow up on activities recommended; maintains database documentation.
Added 5 mins ago
Research Scientist
Texas A&M University
Dallas, TX
Proficiency in statistical programming languages (e.g., R, SPSS, STATA, SAS), data visualization tools (e.g., Tableau, Power BI), and database applications.
Added 5 mins ago
A
Data Engineer II - AMZ10414442
Amazon
Dallas, TX
- $139,352 to $178,800 USD / year
…experience in the job offered, or as an Operations Research Analyst, Database Developer, or a related occupation. Employer will accept a Bachelor's degree or foreign equivalent degree in…
Added 5 mins ago
Sr. Database Specialist SA, Media & Entertainment, ASPI MEGS, ASPI MEGS
Amazon
Dallas, TX
Are you a customer-obsessed builder with deep expertise in database design and architecture? Do you have the technical acumen and business savvy to help customers successfully migrate their…
Added 5 mins ago
Prin Cyber Security Architect
Constellation
Houston, TX
Added 5 mins ago
Director - Chemical Research & Analysis, Resins Markets (Americas)
Dow Jones
HOUSTON, TX
Maintain the North America and Latin America production capacity database and supply-demand balances and price forecasts
Added 5 mins ago
O
Technical Architect 5
Oracle
Austin, TX
- $132,600 to $223,999 USD / year
Oracle Database technologies including Oracle Autonomous Transaction Processing (ATP) and Oracle DBaaS;
Added 5 mins ago
Senior Product Manager
Acxiom
Austin, TX
Support delivery through batch files, APIs, cloud storage, database sharing, and other approved delivery methods.
Added 5 mins ago
Executive Director of Development, Major and Principal Gifts
UNIVERSITY OF TEXAS AT AUSTIN
Austin, TX
…philanthropy operations on donor services, acknowledgments, and database governance. Leverages CRM, including analytics and digital tools, to enhance fundraising teams performance.Other…
Added 5 mins ago
Undergraduate Academic Program Coordinator
UNIVERSITY OF TEXAS AT AUSTIN
Austin, TX
Added 5 mins ago
C
Senior .NET Full Stack Developer – C#
Cognizant
Austin, TX
- $86,000 to $99,000 USD / year
As a Senior .NET Full Stack Developer – C#, you will make an impact by designing and developing scalable enterprise applications that support healthcare payer operations, including…

Amerihealth Caritas

Regulatory Reporting Specialist Bus

United States

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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

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