Job Information
Healthfirst Regulatory Specialist - Dental Operations in Remote, New York
Description for Regulatory Specialist - Dental Operations:
Support external and internal regulatory reporting, surveys, audits and investigations impacting dental operations
Monitor incoming regulations including those received from Centers for Medicare and Medicaid Services (CMS), State Department of Health (DOH) and internal channels
Share regulatory guidance with dental operations and support regulatory change management and implementation efforts
Perform monitoring of dental operations to ensure compliance with company standards, policies and procedures, as well as federal, state and local regulations
Maintain monitoring results including areas of non-compliance and process improvements for remediation
Identify process improvements and collaborate with the department and other business units to implement enhancements
Assist with developing corrective action plans
Maintain up to date knowledge of federal and state requirements and practices to perform tasks and duties
Additional duties as assigned
Minimum Qualifications for Regulatory Specialist - Dental Operations:
High school diploma or equivalent with at least four (4) years of health care experience
Strong knowledge of CMS and/or New York State DOH regulations. Compliance experience within a managed care environment.
Working knowledge of project management
Ability to build and maintain positive relationships with cross-functional teams and interact with all levels of management.
Time management, critical/creative thinking, project management, communication, and problem-solving skills
Preferred Qualifications for Regulatory Specialist Dental Operations:
Bachelor's degree from an accredited institution.
Previous relevant compliance experience.
Proficiency with Microsoft systems like Outlook, Excel, and Word.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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