Compliance Specialist
Company: University Health
Location: San Antonio
Posted on: June 4, 2025
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES
The Compliance & Regulatory Specialist is responsible for assisting
in the oversight and execution of compliance in the health plan's
operational areas, including delegated operational activities and
regulatory reporting. The candidate must be familiar with current
Texas Medicaid regulations, the Texas Department of Health and
Human Services, Texas Department of Insurance (TDI) regulations,
the Office of Inspector General (OIG) Compliance Plan, the Centers
for Medicare and Medicaid Services (CMS) and should also be
familiar with health plan documents such as Summaries of Benefits
and Coverage, Schedules of Benefits and Certificates of Coverage.
This position will coordinate and facilitate the execution of the
company's regulatory deliverables. The Compliance & Regulatory
Specialist will assist with the interpretation of and/or execution
of changes in regulations and guidelines, including HIPAA. This
position will need to build key relationships with regulatory
agencies and internally to facilitate improved interaction,
transparency and accountability.
EDUCATION/EXPERIENCE
A bachelor's degree in business administration, public
administration, health care administration or a related field is
desired but will accept experience in lieu of education.
Proficiency in Microsoft Office applications.
Keywords: University Health, Georgetown , Compliance Specialist, Other , San Antonio, Texas
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