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Retail Sales Associate
Skechers
Queens Center, NY
…innovation is at the core of everything we do, driving the development of stylish, high-quality products at a great value. From our diverse footwear collections to our expanding range of…
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Associate Director, Planning and Production Control
RTX
United States
…problems. With our three market leading businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we…
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Patient Service Representative (PSR)-OGBYN
Advocate Health and Hospitals Corporation
Naperville, IL · Aurora, IL
09121 AMG Naperville Naper Blvd - Building Operations
Added 1 min ago
Manufacturing Engineering Manager
GKN Driveline Bowling Green Inc. (Ohio)
Bowling Green, OH
As a Manufacturing Engineering Manager, you will lead manufacturing engineering staff and oversees development, documentation, implementation, and continuous improvement of efficient,…
Added 1 min ago
Senior Software Engineer
GKN Drivelin Newton LLC (Delaware)
Newton, NC
Contributes to development of existing and new applications by analyzing and identifying areas for modification and improvement. Contributes to development of new applications to meet…
Added 2 mins ago
Senior COMSEC & Network Engineer (Cloud/Classified)
GD Information Technology, Inc.
United States
Azure Solutions Architect or Azure Network Engineer Associate preferred.
Added 2 mins ago
GI
SCITLS Computer Support Technician
GD Information Technology, Inc.
United States
- $30.44 to $41.18 USD / hour
USSTRATCOM is a Combatant Command responsible for strategic deterrence, nuclear operations, and enterprise IT services essential to national security. It oversees Nuclear Command, Control,…
Added 2 mins ago
COMSEC / Network Administrator
GD Information Technology, Inc.
United States
Cisco Certified Network Associate (CCNA) - Required;
Added 2 mins ago
Program Security Representative (PSR) III
GD Information Technology, Inc.
United States
…Information (SCI) and collateral data in support of US military…
Added 2 mins ago
FE
Commercial/Fixtures Quotations Coordinator
Ferguson Enterprises, LLC
Pomona, CA
- $25.27 to $35.41 USD / hour
The Senior Commercial/Fixtures Quotations Coordinator assists with the development of quotations on Commercial Fixture projects and ensures outstanding customer service.
Added 2 mins ago
Operations Supervisor - Distribution
DPDHL
Tracy, CA
Our Organization has a business casual environment and focuses on teamwork, associate development, training, and continuous improvement.
Added 2 mins ago
Operations Supervisor - Distribution
DPDHL
Tracy, CA
Our Organization has a business casual environment and focuses on teamwork, associate development, training, and continuous improvement.
Added 2 mins ago
Operations Supervisor - Distribution
DPDHL
Tracy, CA
Our Organization has a business casual environment and focuses on teamwork, associate development, training, and continuous improvement.
Added 2 mins ago
Inventory Control Supervisor
DPDHL
Tracy, CA
Conduct associate performance reviews, individual development plans and succession plans
Added 2 mins ago
A
Associate Director, International Marketing & Commercial Operations, Oncology
AbbVie
Mettawa, IL
- $141,500 to $268,500 USD / year
…medical affairs, pipeline , finance, regulatory, legal, supply operations, health economics, clinical development, R&D, public affairs, medical and regulatory review, patient relations,…
Added 2 mins ago
A
Associate Director, International Marketing & Commercial Operations, Oncology
AbbVie
Mettawa, IL
- $141,500 to $268,500 USD / year
…medical affairs, pipeline , finance, regulatory, legal, supply operations, health economics, clinical development, R&D, public affairs, medical and regulatory review, patient relations,…
Added 3 mins ago
General Manager II - Distribution
DPDHL
Tracy, CA
Our Organization has a business casual environment and focuses on teamwork, associate development, training, and continuous improvement.
Added 3 mins ago
Senior Operations Manager (Operations Manager I)
DPDHL
Tracy, CA
Our Organization has a business casual environment and focuses on teamwork, associate development, training, and continuous improvement.
Added 3 mins ago
Energy Advisor
Solar Gain Inc
Tucson, AZ
…This role is critical to the success of the Company’s business…
Added 4 mins ago
Enterprise PMO Portfolio Manager
Regions
Hoover, AL · Charlotte, NC · Atlanta, GA
Added 4 mins ago
Technology Services Help Desk Technician
Regions
Hoover, AL
May interact with other support, engineering and application development teams to restore service and/or identify and correct core problems
Added 4 mins ago
HR Operations Specialist
Winter Garden, FL
Join ABC Companies as an HR Operations Specialist and play a vital role in supporting our employees, strengthening compliance, and ensuring the smooth execution of essential HR processes.…
Added 5 mins ago
MA
Infrastructure Engineer
Midtown Athletic Clubs
Chicago, IL
- $105,000 to $125,000 USD / year
· Complimentary individual Midtown club membership, associate discounts, recognition programs, and professional development support
Added 5 mins ago
MT
Warehouse Associate
Monmouth Trading Cards
Tinton Falls, NJ
- $18 to $20 USD / hour
…worldwide. We’re looking for a reliable and motivated Warehouse Associate to join our Warehouse team in Tinton Falls, NJ to assist in keeping our operations running smoothly. This role is…
Added 5 mins ago
Research Associate, Survey Administration - Corporate Team
The Hanover Research Council LLC
Remote, United States
The Research Associate, Survey Administration, will test, administer, and prepare for analysis the online surveys that Hanover launches each year. This position will work directly with…

Coloplast A/S

Associate Production Operator

Minneapolis, MN, United States

$24.07 USD / hour

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Job details

Pay: $24.07 USD / hour
Experience: Minimum 2 years' experience with Medicaid, Medicare, payer operations, revenue cycle, healthcare reimbursement, or regulatory compliance.
Posting language: English
Posted: Nov 4, 2026

Original job description

The Regulatory & Payer Operations Support Specialist serves as the office-level regulatory, payer, and operational support lead. The role is responsible for survey readiness, Medicaid and payer coordination, and will provide operational support with insurance verification, prior authorization support, audit response coordination, medical records retrieval, and office administrative operations. This position partners with clinical, operational, revenue cycle, and regulatory teams to ensure compliance, operational efficiency, and exceptional service to patients and customers.

Major Areas of Accountability

Regulatory Affairs

Serve as the local point of contact for CMS, Medicaid, accreditation, and payer surveys.
Maintain continuous survey readiness and compliance with regulatory, licensing, accreditation, and company requirements.
Coordinate mock surveys, compliance audits, and readiness assessments; communicate findings and corrective actions.
Maintain regulatory documentation and support office leadership in compliance monitoring.

Medicaid & Payer Relations

Monitor and interpret Medicaid regulations, payer policies, and reimbursement requirements within assigned territory.
Act as a liaison between the local office, Medicaid agencies, managed care organizations, payer representatives and the Managed Care Access and Credentialing teams.
Works cross-functionally to support issue resolution related to eligibility, authorizations, documentation, reimbursement, and claims.
Provide updates regarding payer requirements and regulatory changes.

Insurance Verification & Prior Authorization Support

Conduct insurance eligibility and benefit verification for new and existing patients.
Submit, track, and follow up on prior authorization requests with government and commercial payers.
Communicate authorization status and requirements to patients, providers, and internal stakeholders.
Maintain accurate documentation of eligibility determinations, authorization approvals, denials, and appeals.

Audit Response & Medical Records Support

Coordinate collection of supporting documentation for internal audits, payer audits, and regulatory reviews.
Perform medical record chase activities with provider offices and clinicians to obtain required records.
Ensure completeness and accuracy of records prior to submission.
Maintain audit trackers and monitor response deadlines.

Office Administrative Support

Coordinate administrative activities supporting daily office operations and compliance.
Support onboarding, training coordination, and personnel documentation management.
Maintain office records, logs, reports, equipment, and office resources.
Promote ethical conduct and compliance with company policies and applicable regulations.
Perform other duties as assigned.

Basic Qualifications

Minimum 2 years' experience with Medicaid, Medicare, payer operations, revenue cycle, healthcare reimbursement, or regulatory compliance.
Experience with insurance verification, prior authorization processing, or payer communications.
Experience supporting audits, surveys, compliance reviews, or regulatory inspections.
Strong Microsoft Office skills and documentation management capabilities.
Excellent communication, organization, and problem-solving skills.
Ability to manage multiple priorities in a fast-paced healthcare environment.

Preferred Qualifications

Associate or bachelor's degree in healthcare administration, Business Administration, Public Health, Regulatory Affairs, or related field.
Experience in DMEPOS, HME, home health, or other regulated healthcare environments.
Knowledge of CMS, Medicaid, accreditation, and payer requirements.
Experience with medical record retrieval, audit responses, claims support, and reimbursement processes.
Familiarity with Medicaid managed care organizations and multi-state operations. At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect: Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents. Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services. Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available. Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement. Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events. Community and Culture: A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way. Competitive Compensation: The starting hourly rate for this position is $24.07. Hired candidates may be eligible to receive additional compensation for applicable experience and may also be eligible for bonuses and/or incentives. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location

Pursuing an ambitious growth agenda, Coloplast develops and markets products and services that make life easier for people with intimate healthcare needs. Employing about 16,000 people and with products available in more than 143 countries, we are one of the world´s leading medical device companies. We are constantly growing our business and always looking for new ways to move forward – we explore, learn and look for new ways of doing things.

Visit us on Coloplast.com.

Watch the film. Follow us on LinkedIn.

Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Coloplast is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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