Key Responsibilities: * Draft clear, accurate, and concise healthcare policy documents, procedures, position statements, and regulatory summaries. * Monitor updates from CMS, state Medicaid programs ...
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Relq Technologies
44 jobs near Columbus, OH
Key Responsibilities: * Draft clear, accurate, and concise healthcare policy documents, procedures, position statements, and regulatory summaries. * Monitor updates from CMS, state Medicaid programs ...
HealthEdge Configuration SME
Tampa, FL · On-site
HealthEdge certification or relevant certifications in healthcare IT. * Experience with other healthcare information systems and interoperability standards. * Familiarity with healthcare compliance ...
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HealthEdge Configuration SME
Tampa, FL · On-site
HealthEdge certification or relevant certifications in healthcare IT. * Experience with other healthcare information systems and interoperability standards. * Familiarity with healthcare compliance ...
Healthedge/ Healthrules Configuration QA Consultant (with HealthRules Payor (HRP) experience) 100% Remote 6+ months Key Responsibilities: * Develop and execute test strategies and scripts using ...
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Healthedge/ Healthrules Configuration QA Consultant (with HealthRules Payor (HRP) experience) 100% Remote 6+ months Key Responsibilities: * Develop and execute test strategies and scripts using ...
Job Title: IV&V Analyst / Consultant We are seeking an experienced IV&V Analyst to support quality assurance and risk mitigation efforts across software development and system implementation projects.
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Job Title: IV&V Analyst / Consultant We are seeking an experienced IV&V Analyst to support quality assurance and risk mitigation efforts across software development and system implementation projects.
Contractor
Re-posted 7 days ago
Job description
Key Responsibilities:
Draft clear, accurate, and concise healthcare policy documents, procedures, position statements, and regulatory summaries.
Monitor updates from CMS, state Medicaid programs, and legislative bodies to identify changes impacting healthcare operations.
Translate complex regulations and policy updates into internal documents, training materials, and member/provider communications.
Collaborate with legal, compliance, government programs, and clinical teams to ensure alignment of written policies with operational practices.
Analyze the impact of regulatory and policy changes on organizational processes and recommend policy adjustments.
Prepare reports and briefing materials for internal stakeholders and executive leadership.
Participate in audits and reviews to ensure policy compliance with Medicare and Medicaid standards.
Support the development of policy content for RFPs, contracts, and stakeholder engagement.