PacificSource

PacificSource

Regulatory and Reporting Specialist

Boise, ID

Sponsorship not specified$45k-$72kDetected 1 day ago
ComplianceAuditingHIPAALeadershipCommunicationCollaborationProblem SolvingAdaptabilityOrganizational Skills

About the role

  • Looking for a way to make an impact and help people?
  • Join PacificSource and help our members access quality, affordable care!
  • PacificSource is an equal opportunity employer.

Responsibilities

  • In partnership with Compliance staff and leadership, develop auditing and monitoring plans to assess compliance with all State, Federal and internal business rules and regulations.
  • Maintain a current working knowledge of all applicable Medicare, and Medicaid rules and regulations including assessment, impact report and training on any new rules or regulations to all impacted departments.
  • Support ongoing communication efforts. Maintaining compliant members, departments, and provider communications. Keeping letters and other member communications up to date with compliance guidance and best practices.
  • Perform other duties as assigned.
  • Requires ability to define and prioritize problems and manage workload without direct supervision.
  • Building Customer Loyalty
  • Building Strategic Work Relationships

Requirements

  • Ability to read and comprehend both written and spoken English.
  • It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
  • Work Experience: Minimum of 2 years of compliance-related experience required.
  • Minimum of 2 years of compliance-related experience required.

Nice to have

  • High school diploma or equivalent required.
  • Bachelor's degree preferred.

Skills

  • Compensation Disclaimer
  • Base Range:
  • $44,982.98 - $71,972.77
  • The wage range provided reflects the full range for this position.
  • Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.

Compensation

  • The wage range provided reflects the full range for this position.
  • The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage.
  • Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.
  • Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.

Benefits

  • Strong preference for health insurance experience.
  • Education, Certificates, Licenses: High school diploma or equivalent required.
  • Good understanding of Medical Terminology required.

Company info

  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.

Equal opportunity

  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

This listing is sourced directly from PacificSource's careers page and normalized into a canonical job model.