Jobs in the United States

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Assistant Restaurant Leader
Dukin
Cicero, NY
- $17.75 to $20.4 USD / hour
Ongoing training and development opportunities
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HPC Operations Engineer
LLNL
Livermore, CA
Configure and integrate data from building management and facility systems, such as power and cooling, with HPC system monitoring to provide a unified operational view under established…
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Paneled Nurse Practitioner
Humana
Lakeland, FL
This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
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Referral Coordinator 1
Humana
Port Orange, FL
This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
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Home Health Licensed Practical Nurse
Humana
Raleigh, NC · Durham, NC
Educate patients and their families on disease management, treatment options, and self-care techniques.
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Home Health Registered Nurse
Humana
Raleigh, NC · Durham, NC
Educate patients and their families on disease management, medication, and treatment options.
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Physician (MD/DO)
Humana
Phoenix, AZ
Graduate of accredited MD or DO program from an accredited university
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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…
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District manager, Chicago Southwest Suburbs, IL
Starbucks Coffee Company
Orland Park, IL · Evergreen Park, IL · Burbank, IL · Tinley Park, IL · Oak Lawn, IL
5+ years of management experience leading a team of 6 or more, including training and coaching, with strong leadership and communication skills
Added 1 min ago
Project Manager
Stryker Employment Company, LLC
Tallahassee, FL
4+ years of relevant work experience including but not limited to process improvement, project/program management
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Lead Specialist, Sales Education
Stryker Employment Company, LLC
Portage, MI
This is an individual contributor role for an experienced program leader who enjoys being close to the work. You will lead through expertise, influence, collaboration, and ownership, moving…
Added 1 min ago
Registered Nurse Clinical Specialty Lead
Ascension
Winchester, IN
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
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Manager Registered Nurse Operating Room
Ascension
Elk Grove Village, IL
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added 1 min ago
Director of Emergency Department
Ascension
Waco, TX
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added 1 min ago
Older Adults Case Manager (Castle Hill YMCA)
Bronx, NY
services. The Case Manager will assess clients’ needs to determine which community services to provide. The program includes conducting
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Senior Healthcare Regulatory Counsel
Ambulnz Holdings, LLC
New York City, NY
Partner with Compliance and business leadership to develop, enhance and maintain an effective healthcare compliance program.
Added 1 min ago
Chef - Marketplace Café - Old Orchard Center
Nordstrom Inc
Skokie, IL
Complete a comprehensive Manager in Training program that covers all the ins and outs of running a successful kitchen
Added 1 min ago
NI
Maintenance Technician III – Material Handling & Conveyors (3rd Shift) - Upper Marlboro Distribution Center
Nordstrom Inc
Upper Marlboro, MD
- $31.75 to $50.5 USD / hour
As a Maintenance Technician 3 you will train and supporting leading the execution of our preventative maintenance program, as well as the troubleshooting and diagnostics repairs of the…
Added 1 min ago
BH
Clinical Liaison
Brookhaven Hospice
Westborough, MA
- $75,000 to $105,000 USD / year
Career Path Program that supports internal growth, advancement, and increased pay
Added 1 min ago
TP
Shipping Operator
TreeHouse Private Brands, Inc.
United States
- From $30 USD / hour
Competitive compensation and benefits program!
Added 1 min ago
Lead Physician Navigator - FT Days | Ocoee Rehab
PAM Health Rehabilitation Hospital of Ocoee
Ocoee, FL
Under the direction of the Director of Strategy and Integration (DSI), the Lead Physician Navigator assists in the training and management of the business development team to include…
Added 1 min ago
Associate - Software Development & Engineering
Charles Schwab
Southlake, TX
Bachelor’s or Master’s degree in Computer Science, Management Information Systems, a related discipline, or completion of a coding bootcamp or similar technical training program.
Added 1 min ago
MM
Senior Accountants
Mass Markets
TX
- $50,000 to $65,000 USD / year
Subject to the program and location of the position
Added 1 min ago
Crusoe - 3725 - Rodbuster - Journeyman
Overland Contracting
Claude, TX
Attend site specific training and assure you follow all procedures as out lined in training . Follow established safety rules and regulations and maintain a safe and clean work environment…
Added 1 min ago
Bartender
Hampton Inn Decatur
Decatur, GA
Perform any other duties as requested by management to aid in better operation of the hotel and service to the guests

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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