Jobs in the United States

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Added 2 mins ago
EAP for Discipleship, Community Life, and Church Operations
Christcord Church Corporation
Remote, United States
The Executive Associate Pastor for Discipleship, Community Life, and Church Operations will play a vital leadership role in building the heart and structure of Christcord Church. This…
Added 2 mins ago
CH
Front Desk Manager (OEM)
Crescent Hotels
Itasca, IL
- $26.32 USD / hour
Assist with hiring, scheduling, performance evaluations, and associate development.
Added 2 mins ago
Process Engineer - Associate
syncreonAmerica
CARLISLE, PA
…and/or improvements to existing systems, providing input for the development of functional layouts that minimize space and material transit distance that provides flexibility for expansion,…
Added 3 mins ago
Cardiac Catheterization Interventional Clinical Team Lead
Advocate Health and Hospitals Corporation
United States
Collaborates with leadership to ensure adequate staffing through selection, onboarding and development of team members.
Added 7 mins ago
Program Security Representative (PSR) I
GD Information Technology, Inc.
United States
…Information (SCI) and collateral data in support of US military…
Added 7 mins ago
Program Security Representative (PSR) I
GD Information Technology, Inc.
United States
…Information (SCI) and collateral data in support of US military…
Added 10 mins ago
Imaging Service Engineer 3
Anastasia Talent Group
Cleveland, OH
…confidential organization supporting healthcare technology operations in Cleveland, Ohio. This role maintains the reliability, safety, and performance of diagnostic imaging and therapeutic…
Added 11 mins ago
Assistant Director of Housekeeping
Compass Cove Resort
Myrtle Beach, SC
…industry, we have fostered a set of core values that guide associate development on a personal and professional…
Added 11 mins ago
General Manager
Aaron's
Woodbridge, VA
…management customer growth and maintenance revenue production associate development and inventory control. Strong leadership skills combined with the ability to motivate and lead store…
Added 18 mins ago
W
Tooling Design Engineer
WorkWave
Jamestown, NY
- $50,000 to $100,000 USD / year
Development, Debugging and Improvement for tooling processing
Added 18 mins ago
KW
Associate Instructional Systems Designer (ISD) / Learning & Development Specialist
KBR Wyle Services, LLC
Chantilly, VA
- $82,000 to $102,000 USD / year
…people worldwide with customers in more than 85 countries and operations in over 28 countries. KBR is proud to work with its customers across the globe to provide technology, value-added…
Added 18 mins ago
Senior Systems Administrator
KBR Wyle Services, LLC
Kihei, HI
…people worldwide with customers in more than 85 countries and operations in over 28 countries. KBR is proud to work with its customers across the globe to provide technology, value-added…
Added 18 mins ago
D365 Sr. Finance Consultant
Comspark group
NC · Cary, NC
Certified Dynamics 365 Finance Consultant Associate
Added 19 mins ago
Associate Director- Revenue Cycle Hospital Billing
Guidehouse Managed Services LLC
TX
The Hospital Billing Associate Director – Revenue Cycle is responsible for overseeing the teams who handle the daily operations of the hospital billing to ensure timely, accurate, and…
Added 19 mins ago
Associate Director- Cash Posting
Guidehouse Managed Services LLC
TX
The Cash Posting Associate Director is responsible for overseeing the team or teams that handle the daily cash posting and payment reconciliation functions for hospital and healthcare…
Added 25 mins ago
CA
Infant/Toddler Teacher
Cadence Academy Preschool
Bourne, MA
- $18 USD / hour
About the RoleUnder the direction of the School Director and Lead Teacher, the Teacher supports daily classroom operations and the implementation of Cadence Education programs. This role…
Added 25 mins ago
JS
Associate Manager
JCrew Stores / Ashe DC Grace Holmes, Inc.
Indianapolis, IN
- $24 to $30 USD / hour
As an Associate Manager, you are a key member of the leadership team. You are responsible for ensuring profitability by fostering genuine customer connections, brand loyalty, and community…
Added 26 mins ago
Center Operations Manager
Living Alternatives PRC
Jacksonville, IL
The Center Operations Manager (COM) oversees the non-medical support services and daily operations of
Added 27 mins ago
SH
Director, Actuarial & Risk Management Services - Sharp Health Plan Finance - Hybrid - Day Shift - Full Time
Sharp HealthCare
United States
- Full-time
…The Director collaborates closely with Finance, , Clinical, Operations, and Executive Leadership to ensure accurate risk assessment, sustainable growth, and effective management of…
Added 28 mins ago
Assistant Manager - Camelback Colonnade
Old Navy
Phoenix, AZ
…through all aspects of the store including; customer and product operations, merchandising, and talent development. You are responsible for supporting the execution of the store strategy to…
Added 32 mins ago
Product Manager Associate
DTCC Candidate Experience
Jersey City, NJ · Tampa, FL · Dallas, TX
…supportive team, and receive investment in your professional development? At DTCC, we are at the forefront of innovation in the financial markets. We're committed to helping our employees…
Added 32 mins ago
Test Technician II, 2nd Shift (Onsite)
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…
Added 32 mins ago
Associate Director, Business Engagement- Technology Deployment
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…
Added 32 mins ago
CO
Assistant Director, Watershed Protection - Modeling, Monitoring, and Compliance (MMC)
City of Austin
United States
- $194,000 to $204,000 USD / year
Under the direction of the Director, this position directs the activities of personnel involved in providing development review and inspection services, including reducing the impact of…
Added 32 mins ago
Scheduler Analyst - Austin Water
City of Austin
United States
Experience with operations and maintenance of water distribution system pipelines, valves, and other assets with emphasis on water metering infrastructure, managing and/or inspecting…

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.

Coloplast is committed to being an inclusive organization, where people bring their differences to work each day, fulfill their potential and have a strong sense of belonging because – and not despite – of their differences. We therefore encourage all qualified candidates to apply regardless of gender, age, race, nationality, ethnicity, sexual orientation, religious belief or physical ability.