Remote Prior Authorization Regulatory Specialist
Eden Prairie, Minnesota
Employer: Insight Global
Industry: Insurance
Salary: Competitive
Job type: Part-Time
An employer is looking for a highly skilled remote Prior Authorization Regulatory Specialist to join one of our largest national healthcare clients for a contract through the end of the year. At this time, this role does not have the possibility to extend and is just approved for a shorter-term engagement. In this role you'll join a growing team and focus on doing research regarding updates to regulations from CMS / State and Federal entities In order to be successful on this team you must be extremely detail orientated and comfortable with accurate documentation. You also must be comfortable reading and understanding regulations and responding to clients in a professional and concise manner, especially as it relates to regulation jargon.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Required Skills & Experience
- 5 years of professional experience within the PBM Ops space
- Ability to read and understand State / CMS / Government regulations and respond professionally to clients and stakeholders
- Ability and interest in proactively researching and implementing changes in regards to CMS and government regulations
- Collaborative and team oriented personality
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Required Skills & Experience
- 5 years of professional experience within the PBM Ops space
- Ability to read and understand State / CMS / Government regulations and respond professionally to clients and stakeholders
- Ability and interest in proactively researching and implementing changes in regards to CMS and government regulations
- Collaborative and team oriented personality
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Created: 2024-08-30
Reference: 377514
Country: United States
State: Minnesota
City: Eden Prairie
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