***Can consider 100% remote worker status for candidates outside the Tampa Bay area**
Acts as the point person for emerging, new and existing regulatory changes for assigned region. Responsible for communication and consultation with impacted functional business areas during implementation of regulatory requirements. Researches, analyzes, interprets and summarizes emerging issues and new legislation/regulations to assist business in understanding operational impact. Documents business decisions related to implementation of regulatory changes.
Bachelor's degree from four-year college or university; and a minimum of 5 years related experience and/or training; or equivalent combination of education and experience. Experience in workers’ compensation, managed care or medical bill review industry strongly preferred
Knowledge, Skills and Abilities:
Strong understanding of managed care and/or workers’ compensation concepts. Prefer experience in PBM or medical bill review environment. Basic understanding of EDI Medical State Reporting is a plus. Less than 10% travel required.
Physical Demands/Working Conditions:
Duties are performed primarily in an office setting. Travel to attend meetings and visit locations throughout the country may be required. Operate computer and standard office equipment such as telephone, copier, and printer. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands. The employee is occasionally required to stand and walk.
*** Job descriptions will be reviewed and are subject to changes of business necessity. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.