27 Healthcare Regulatory Compliance jobs

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

Iowa, US (Hybrid)

$75.3–135.4K / year

Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.

United States (Remote)

$18.00 – $28.00 / hour

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

Oklahoma City, Oklahoma, US (Hybrid)

$115.6–173.3K / year

It's more than a career, it's a calling OK-SSM Health at Home Oklahoma City Worker Type: Regular Job Highlights: Named 150 Top Places to Work in…

Harrisburg, Pennsylvania, US (Hybrid)

Category: Health Care Location: Harrisburg Pennsylvania United States Seeking a Registered Nurse (RN) – Expert Medical Examination Consultant to…

United States (Remote)

We are more than a health system.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$84.5–90K / year

Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs.

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high…

United States (Remote)

$35.00 – $40.00 / hour

Job Summary At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare.

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

Glenview, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

United States (Remote)

$78–83K / year

As a Care Manager, you will be a trusted guide for patients and families navigating complex health journeys.