HealthEdge
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Healthcare Technology
Regulatory Compliance Principal
March 21
HealthEdge
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Healthcare Technology
📋 Description
• The Regulatory Compliance Principal will be the subject matter expert in healthcare regulatory compliance. • This individual will play a pivotal role in ensuring that our suite payer-focused software products support our customers in achieving and maintaining compliance with federal, state, and accreditation body requirements. • The Director, Regulatory Compliance will serve as a strategic advisor to internal and external stakeholders, driving regulatory adherence and aligning our products with the ever-evolving healthcare landscape.
🎯 Requirements
• Bachelor’s degree in a healthcare-related field required; advanced degree (e.g., law, clinical) preferred. • 7+ years of experience in healthcare compliance, with a focus on Medicare, Medicaid, NCQA, CMS, URAC, and state regulatory requirements. • Extensive experience in the payer space, with knowledge of health plan operations and their digital transformation needs. • Demonstrated experience working with regulatory requirements in a software product development environment. • Advanced understanding of healthcare regulations, including HEDIS, CMS reporting, and audit requirements. • Ability to interpret complex regulations and translate them into actionable business solutions. • Strong interpersonal, communication, organizational, and coordination skills. • Analytical and storytelling capabilities to educate and align internal and external audiences on compliance matters. • Proven ability to work independently, collaboratively, and as a team leader.
Apply NowSimilar Jobs
March 21
Lead regulatory operations and oversight at Summit Therapeutics with a focus on submissions excellence and compliance.
March 15
Ledger
501 - 1000
Manage regulatory issues and influence favorable policies for digital assets in North America.
March 14
Ledger
501 - 1000
Manage regulatory issues and compliance for Ledger's business in the Americas, focusing on digital assets.
March 13
Seeking a Principal Regulatory Affairs Specialist to navigate regulatory requirements for medical devices. Join Johnson & Johnson in developing innovative healthcare solutions.
🇺🇸 United States – Remote
💵 $105k - $194.3k / year
💰 Pre Seed Round on 2022-03
⏰ Full Time
🔴 Lead
🚔 Compliance
March 13
Direct global regulatory strategies for precision medicine and digital health at Takeda. Collaborate across teams to enhance product development.
🇺🇸 United States – Remote
💵 $169.4k - $266.2k / year
💰 Grant on 2016-08
⏰ Full Time
🔴 Lead
🚔 Compliance
🦅 H1B Visa Sponsor
Discover 100,000+ Remote Jobs!
Wall of Love
Frequently asked questions
We use powerful scraping tech to scan the internet for thousands of remote jobs daily. It operates 24/7 and costs us to operate, so we charge for access to keep the site running.
Of course! You can cancel your subscription at any time with no hidden fees or penalties. Once canceled, you’ll still have access until the end of your current billing period.
Other job boards only have jobs from companies that pay to post. This means that you miss out on jobs from companies that don't want to pay. On the other hand, Remote Rocketship scrapes the internet for jobs and doesn't accept payments from companies. This means we have thousands more jobs!
New jobs are constantly being posted. We check each company website every day to ensure we have the most up-to-date job listings.
Yes! We’re always looking to expand our listings and appreciate any suggestions from our community. Just send an email to Lior@remoterocketship.com. I read every request.
Remote Rocketship is a solo project by me, Lior Neu-ner. I built this website for my wife when she was looking for a job! She was having a hard time finding remote jobs, so I decided to build her a tool that would search the internet for her.