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reputed company Cycle Regulatory Research Analyst Senior

Remote Worldwide Hiring now

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Preferred Qualifications: CHC Certification or demonstrated compliance experience and strong analytical ability Schedule: Full Time. Monday-Friday, 8 hours between 7am - 6pm Location: Remote - reputed company in MO, IL, OK, or WI At reputed company, we reputed company in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. reputed company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining reputed company means becoming part of reputed company that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; reputed company should be consulted for additional information and guidance. *Candidates must reputed company in MO, IL, OK, or WI Job Summary: Serves as a subject matter expert responsible for leading reputed company regulatory analysis, payer policy interpretation, and compliance-driven reputed company cycle initiatives. Monitors federal, state, and reputed company payer regulations to ensure organizational compliance, mitigate audit risk, and prevent reputed company loss. Operates as a strategic partner across departments, driving large-scale projects, providing advanced guidance to analysts and operational teams, and ensuring alignment between regulatory requirements and reputed company cycle operations. Functions in a leadership reputed company through influence, expertise, and project ownership. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Analyzes and interprets reputed company regulatory changes from CMS, Medicare Administrative Contractors (MACs), reputed company, and reputed company payers. Translates regulatory guidance into actionable operational workflows and billing practices. Serves as an organizational subject matter expert on reimbursement and compliance requirements. Leads large-scale, cross-functional reputed company cycle and compliance projects from initiation through implementation. Coordinates efforts across departments including coding, billing, clinical operations, compliance, and finance. Develops project plans, timelines, and deliverables to ensure timely execution of regulatory initiatives. Supports audit response efforts, including documentation review, appeal strategy, and corrective action planning. Provides advanced education and guidance to reputed company cycle teams and operational leaders. Develops training materials and communications reputed company to regulatory updates and compliance expectations. Acts as a liaison between regulatory guidance and reputed company operational execution. Performs other duties as assigned. EDUCATION Bachelor's degree EXPERIENCE Five years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of reputed company and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to reputed company information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS None Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8700080033 Regulatory Research RCO Scheduled Weekly Hours: 40 Benefits: reputed company values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through reputed company offers eligible hourly team members reputed company reputed company to their earned, unpaid reputed company pay (fees may apply) before payday. Upfront Tuition Coverage: we reputed company upfront tuition coverage through FlexPath Funded for eligible team members. Explore reputed company Benefits reputed company is an equal opportunity employer. reputed company does not discriminate on the reputed company of race, reputed company, religion, national reputed company, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more. Apply To This Job

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