Jobs in the United States

25+ jobs

Save this search

Added just now
Sr Technical Security Product Owner
Humana
Dallas, TX · Fort Lauderdale, FL · Louisville, KY · Tampa, FL
…team, ensuring backlog priorities trace to initiative goals and program-level security outcomes. This role owns the backlog for DevSecOps Engineering, Humana's security engineering team…
Added just now
Information Assurance/Security Engineer Manager
Peraton
Remote, United States
Support the system security program by proactively managing Infrastructure systems security risks, vulnerabilities, & compliance with security configurations, guidance, & policies.
Added just now
Director Clinical Operations Long Term Care
Ascension
La Grange Park, IL
Organizes operations to provide high quality, cost effective services. Models leadership and teaming excellence by providing appropriate advice and counsel to staff to improve effectiveness.
Added just now
Manager Registered Nurse Operating Room
Ascension
Elk Grove Village, IL
Conducts hiring, training, directing, development and evaluating of staff.
Added just now
Director of Emergency Department
Ascension
Waco, TX
Conducts hiring, training, directing, development and evaluation of staff.
Added just now
Senior Director of Nursing Practice
Ascension
Saint Louis, MO
Boundary span and collaborate with stakeholders, including clinical, operations, system, market, and local level leadership, to achieve organizational goals amenable to nursing practice.
Added just now
Administrative Fellow
Ascension
Saint Louis, MO
Gain Operational Exposure: Undertake a full-time, salaried 12-month program featuring structured departmental rotations and customized, project-driven initiatives.
Added just now
Director of Graduate Medical Education
Ascension
Tulsa, OK
Provides oversight and organization for the activities of the residency and/or medical student education program in all facilities that participate in the program.
Added just now
Registered Nurse Manager ED
Ascension
Wichita, KS
Drive operational excellence and compliance through the development and implementation of unit policies that maintain strict adherence to regulatory and accreditation standards.
Added just now
Chaplain
Ascension
Wichita, KS
Master's degree or enrolled in a Master's degree program in Theology, Spirituality, Social Work, Divinity, Philosophy, Servant Leadership, Pastoral Studies, Human Behavior, or a related…
Added just now
Construction Project Manager
Element Critical
Austin, TX
Assists in the development of the Capital Development project budgets with a clear understanding of the intent of each project.
Added 1 min ago
Physical Therapy Assistant
UnityPoint Health
Sioux City, IA
…needed to align and/or optimize care.• Assists and advises leadership in the development andimplementation of quality services, programs, policies andprocedures.• Maintains competence in…
Added 1 min ago
Technical Program Manager, R&D
Hyliion
Cincinnati, OH
The Technical Program Manager is accountable for Hyliion's New Product Development programs from inception through Verification and Validation. Based with R&D Engineering in Ohio, the…
Added 1 min ago
Older Adults Case Manager (Castle Hill YMCA)
Bronx, NY
Through our talented staff and “LEAP” career framework (Leadership,
Added 1 min ago
Occupational Therapist (OT) - PRN | Tulsa Rehab
PAM Health Rehabilitation Hospital of Tulsa
Tulsa, OK
…to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and…
Added 1 min ago
Senior Healthcare Regulatory Counsel
Ambulnz Holdings, LLC
New York City, NY
This role will lead the development and execution of healthcare regulatory legal strategy, helping the organization navigate an increasingly complex federal and state regulatory environment…
Added 1 min ago
Speech Language Pathologist (SLP) - PRN Days | Ocoee Rehab
PAM Health Rehabilitation Hospital of Ocoee
Ocoee, FL
…to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and…
Added 1 min ago
Clinical Navigator - Marshfield Market FT Days | Wausau Rehab
PAM Health Rehabilitation Hospital of Wausau
Wausau, WI
This position works under the direction of the Director of Business Development. Cultivates referral relationships, manages assigned territory, and completes patient assessments. Makes…
Added 1 min ago
Lead Physician Navigator - FT Days | Ocoee Rehab
PAM Health Rehabilitation Hospital of Ocoee
Ocoee, FL
…Navigator assists in the training and management of the business development team to include Clinical Navigators, Physician Navigators, and other individuals as directed. Provides marketing…
Added 1 min ago
Associate - Software Development & Engineering
Charles Schwab
Southlake, TX
As an Associate Software Development Engineer in the New Employee Recruitment Development (N.E.R.D.) Program, you’ll join a nine-month development experience designed for early-career…
Added 1 min ago
Change Management Consultant
Sia
New York, NY
…through cross-sector and cross-functional support in strategy, leadership alignment and coaching, large-scale transformation, strategic change management, and HR modernization efforts. The…
Added 1 min ago
Change Management Consultant
Sia
Bellevue, WA
…through cross-sector and cross-functional support in strategy, leadership alignment and coaching, large-scale transformation, strategic change management, and HR modernization efforts. The…
Added 1 min ago
PS
Clinic Manager - Physical Therapist
PT Solutions Physical Therapy
Mequon, WI
- $86,000 to $122,000 USD / year
Development of leadership skills and opportunity for advancement through clinical leadership
Added 1 min ago
HC
Maintenance
HouseSmart Construction - Clayton
Hillsboro, TX
- $27.25 to $37.25 USD / hour
…causes that are meaningful to them through the Clayton Impact…
Added 1 min ago
Receiver
HouseSmart Construction - Clayton
Belton, TX
…their full potential. Our focus on team member experience, development and engagement is paramount, offering career pathing and leadership development opportunities to foster growth and…

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