Support licensing activities for clinicians including physicians, nurse practitioners, and behavioral health providers.
Ensure successful completion of licensing plans and escalate issues that jeopardize success.
Collaborate cross-functionally to maintain accurate clinician information and improve licensing processes.
Included Health is a healthcare company delivering integrated virtual care and navigation. With a remote-first culture, we break down barriers to provide high-quality care for every person in every community.
Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
Partner with internal teams to ensure compliance with regulations and contract obligations.
Maintain regulatory tracking documentation and support development of training materials.
HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.
Lead a team of regulatory professionals to monitor and operationalize federal and state healthcare regulations for HealthEdge Source™.
Oversee workload distribution, delivery, and escalation management to ensure compliance with complex regulatory landscapes.
Partner cross-functionally with Product, Engineering, and Client Success to integrate regulatory requirements into product development.
HealthEdge is a healthcare technology company that provides reference data and pricing transparency platforms. The company is a full-time, permanent employer with a remote workforce, committed to diversity and offering a collaborative culture.
Manage end-to-end provider licensing workflows across multiple states, including initial applications and renewals.
Own payer enrollment processes for commercial and government payers from initial application through active status.
Build and maintain accurate tracking systems to monitor license and credential expiration dates, ensuring zero lapses.
Hey Jane provides safe, discreet medication abortion treatment and a range of reproductive and sexual health care services via your phone. We have helped over 100,000 people and have an in-house clinical care team of board certified doctors, nurses, and patient care advocates.
Administer employee benefits programs end-to-end including enrollments, billing reconciliation, and compliance reporting such as ACA and 1095-C.
Own leave compliance across all active employee jurisdictions, proactively monitoring state legislation and implementing policy changes.
Serve as the internal subject matter expert on leave, manage multi-state leave cases, and coordinate with third-party administrators and managers.
Patriot Software makes accounting and payroll software fast, simple, and affordable for American businesses. With 175+ team members across the U.S., they foster a remote-first culture built on connection, clarity, growth, and high trust.
Provide strategic leadership for a comprehensive compliance and ethics program, ensuring adherence to healthcare regulations including HIPAA, Stark Law, and Anti-Kickback Statute.
Develop and implement policies promoting ethical conduct; lead risk assessments, audits, and investigations to strengthen compliance controls.
Advise executive leadership and the Board on compliance trends and regulatory developments; direct compliance education programs.
PT Solutions is a rehabilitation provider expanding access to quality care through physical therapy, occupational therapy, speech-language pathology, and athletic training. They offer industry-leading professional development and are a tight-knit community united in their mission.
Provides clinical oversight and medical necessity reviews for home health, DME, and related services using evidence-based guidelines.
Conducts peer to peer consultations and adverse determinations when clinical criteria are not met to support quality outcomes.
Collaborates with health plan leadership, participates in committees, and achieves SLA metrics for client performance guarantees.
CareCentrix provides clinical oversight and utilization management for home health, DME, home infusion therapy, and sleep medicine services. The company has an award-winning culture that values care, integrity, excellence, and innovation, operating with a drug-free workplace and equal opportunity commitment.
Support implementation and operation of the Compliance Program, including conflict of interest, compliance hotline, and regulatory reviews.
Serve as liaison for compliance questions and incidents, and recommend corrective actions and education opportunities.
Work with all levels to ensure internal controls provide accurate, complete, and compliant processes.
Cooper University Health Care is a healthcare organization dedicated to providing extraordinary health care and fostering clinical innovation. It offers competitive compensation, comprehensive benefits, and opportunities for professional growth.
Manage full-cycle executive recruitment for senior living and healthcare leadership roles.
Build and maintain pipelines of executive talent through proactive outreach and networking.
Track recruiting metrics and improve talent acquisition workflows for quality outcomes.
Jobgether uses AI-powered matching to streamline job applications, sharing top-fitting candidates with hiring companies. They operate with a focus on growth and accountability, though company size is not specified.
Support payer audits and medical record reviews, ensuring timely submission of documentation.
Manage medical review requests and appeals associated with CMS contractors and regulatory agencies.
Review clinical documentation using audit checklists and partner with teams to gather required records.
VitalCaring is a provider of home health and hospice services founded in 2021. They are a growing company focused on quality and compliance, with a mission to deliver exceptional patient care.
Serve as the primary compliance advisor for transparency customers, providing guidance on regulatory interpretation and risk mitigation.
Ensure successful achievement of all reporting metrics and deadlines, establishing KPIs and utilizing project management tools.
Actively engage in sales and marketing efforts to support customer growth through industry conferences and networking.
MediSpend provides transparency reporting solutions for the life sciences industry. The company fosters a diverse and inclusive culture with employees working remotely across the US, offering competitive compensation and benefits.
Perform case reviews and process requests for elective services and durable medical equipment.
Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
Provide high-quality customer service to members and healthcare professionals.
Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.
Own and improve day-to-day People Operations processes across a remote, multi-state team.
Serve as the primary liaison with the CPEO, coordinating benefits, payroll, and compliance.
Support employee relations, leave administration, and remote culture programs to enhance employee experience.
TurbineOne builds Mission-AI for military and national security operators, helping detect threats and accelerate decision-making at the tactical edge. Their team consists of experienced technologists, veterans, and operators committed to responsible innovation in a fast-moving startup environment.
Develops and directs global regulatory strategy to obtain and maintain product approvals across key regions.
Serves as primary regulatory contact for health authorities and leads cross-functional regulatory sub-teams.
Identifies regulatory risks and provides strategic guidance for product development and lifecycle management.
Rezolute is a late-stage rare disease biopharmaceutical company focused on developing transformative therapies for patients with severe metabolic and endocrine disorders. It is a publicly traded company driven by scientific innovation, collaboration, and integrity.
Lead Medicaid operations and serve as the subject matter expert shaping service delivery and regulatory compliance.
Own client relationships, drive operational excellence, and implement process improvements across the team.
Develop and coach a high-performing remote team, fostering accountability, collaboration, and continuous growth.
Model N is the leader in revenue optimization and compliance for pharmaceutical, medtech, and high-tech innovators. With over 150 customers in more than 120 countries and 25+ years of experience, the company fosters a culture of innovation and customer success.
Administer and manage comprehensive benefits programs including health, life, disability insurance, and retirement plans.
Ensure compliance with regulations like FMLA, ADA, and ERISA while handling employee inquiries and leave processes.
Coordinate with vendors, perform audits, and support open enrollment to optimize benefit offerings.
Universal Technical Institute provides technical education and training for careers in the transportation industry. It is a large organization with a multi-site, multi-state presence, emphasizing regulatory compliance and employee support.
Compile confidential data to facilitate customer decision-making for healthcare practitioners and providers.
Process and maintain credentialing files, ensuring compliance with federal, state, and NCQA standards.
Perform primary source verification and communicate data in a timely manner.
Symplr revolutionizes healthcare operations with a platform that drives effective workflows and improves clinical, financial, and quality outcomes. It is a remote-first company with employees across the US, India, and the Netherlands, focusing on teamwork, customer championing, and integrity.
Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
Maintain timely documentation in electronic health records and participate in ongoing continuing education.
Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.
Lead and directly manage a team of 6-10 closers, escrow officers, and processors, focusing on hiring, coaching, and career development.
Drive team performance by owning KPIs, monitoring pipeline health, and serving as the senior escalation point for file issues.
Ensure compliance with Federal and multi-state regulations (RESPA, TRID, CFPB) while improving processes and SOPs in partnership with Operations and Product.
Clever is a venture-backed real estate technology company revolutionizing how people buy, sell, and manage real estate. With over 3,800 reviews and a 4.9 TrustPilot rating, they have helped consumers save over $210 million and are building a culture of innovation and transparency.
Manage a team of compliance professionals or third-party providers to ensure proper Compliance program execution and performance management.
Provide compliance advisory services and guidance for regulatory change, product change, and business-as-usual operations across multiple domains.
Recruit, hire, and develop employees while ensuring adherence to consistent standards for communication, documentation, and reporting.
Fulton Bank is a financial institution committed to making a positive impact in local communities and championing a culture of continuous learning and inclusion. The company promotes a digitally enabled work environment and values employee well-being.