Talent.com
Rule Operations Analyst
Rule Operations AnalystVirtualVocations • Cleveland, Ohio, United States
No longer accepting applications
Rule Operations Analyst

Rule Operations Analyst

VirtualVocations • Cleveland, Ohio, United States
5 days ago
Job type
  • Full-time
Job description

A company is looking for a Rule Operations Analyst.

Key Responsibilities

Monitor and optimize the performance of rule portfolios, reporting results to operational leaders

Collaborate with cross-functional teams to implement changes and document improvements for underperforming rules

Engage with operational leaders to maximize business results through effective utilization of rules

Required Qualifications

Bachelor's Degree in a Healthcare related field is preferred but not required

Advanced computer proficiency with MS Excel and other Microsoft products is preferred

Experience with SQL is helpful but not required

Ability to research and investigate information using various industry-related resources

Strong analytical skills to interpret data patterns and industry-related documents

Create a job alert for this search

Analyst • Cleveland, Ohio, United States

Related jobs
Inpatient Auditor

Inpatient Auditor

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for an Inpatient Auditor PRN.Key Responsibilities Perform inpatient facility coding audits and provide rationale for identified changes Stay updated on regulatory changes an...Show more
Last updated: 3 days ago • Promoted
Audit Analyst

Audit Analyst

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for an Audit Analyst to lead and execute risk-based audits focusing on operational processes and regulatory compliance. Key Responsibilities Lead end-to-end audit engagements ...Show more
Last updated: 30+ days ago • Promoted
Senior Internal Auditor I

Senior Internal Auditor I

AmTrust Financial • Cleveland, OH, United States
Full-time
The Senior Internal Auditor I will perform routine financial, compliance, and operational audits in accordance with generally accepted internal auditing standards. An internal audit (including Sarba...Show more
Last updated: 30+ days ago • Promoted
Massachusetts Licensed QHP Auditor

Massachusetts Licensed QHP Auditor

VirtualVocations • Cleveland, Ohio, United States
Full-time
A company is looking for a QHP Auditor (AHA) to work remotely in Charlestown, MA.Key Responsibilities Conduct initial chart reviews and audits for risk adjustment coding Ensure compliance with c...Show more
Last updated: 7 hours ago • Promoted • New!
Audit Intern

Audit Intern

Northwest Bank • Independence, OH, United States
Full-time
Northwest Bank is seeking a detail-oriented and analytical Audit Intern to join our Internal Audit team for Summer 2026.This internship provides hands-on experience in auditing processes, risk asse...Show more
Last updated: 4 days ago • Promoted
California Licensed Audit Reviewer

California Licensed Audit Reviewer

VirtualVocations • Cleveland, Ohio, United States
Full-time
A company is looking for an Audit Reviewer for Premium Insurance.Key Responsibilities Review and validate Workers' Compensation and General Liability audits for accuracy and compliance Identify ...Show more
Last updated: 3 days ago • Promoted
Certified Risk Adjustment Auditor

Certified Risk Adjustment Auditor

VirtualVocations • Cleveland, Ohio, United States
Full-time
A company is looking for a Quality Review and Audit Senior Analyst.Key Responsibilities Evaluate and audit medical documentation for diagnosis code accuracy and compliance Assign accurate ICD-10...Show more
Last updated: 30+ days ago • Promoted
Risk Adjustment Audit Senior Analyst

Risk Adjustment Audit Senior Analyst

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for a Quality Review and Audit Senior Analyst for Individual & Family Plans (IFP), focusing on Risk Adjustment Data Validation (RADV) audits. Key Responsibilities Coordinate d...Show more
Last updated: 30+ days ago • Promoted
Premium Audit Technician

Premium Audit Technician

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for a Premium Audit Processing Technician.Key Responsibilities Process audits for various lines of business including Workers' Compensation and General Liability Manage assi...Show more
Last updated: 30+ days ago • Promoted
ISO 27001 Auditor

ISO 27001 Auditor

VirtualVocations • Cleveland, Ohio, United States
Full-time
A company is looking for a Staff ISO 27001 Auditor - LATAM.Key Responsibilities Perform day-to-day activities of IT audit engagements and readiness assessments Evaluate the design and effectiven...Show more
Last updated: 13 hours ago • Promoted • New!
Senior Auditor (NC Licensed)

Senior Auditor (NC Licensed)

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for a Senior Auditor to assist with audits across various areas including Finance, Accounting, and Risk Management. Key Responsibilities Implement the Internal Audit departmen...Show more
Last updated: 19 hours ago • Promoted • New!
Senior Premium Auditor

Senior Premium Auditor

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for a Senior Premium Auditor.Key Responsibilities Conducts high-level premium audits for Workers Compensation and General Liability policies with minimal supervision Utilize...Show more
Last updated: 30+ days ago • Promoted
Senior Audit Strategist

Senior Audit Strategist

VirtualVocations • Cleveland, Ohio, United States
Full-time
A company is looking for a Senior Audit Strategist.Key Responsibilities Develop sustainable audit strategies for risk reviews, including planning, fieldwork, and reporting Lead complex audit rev...Show more
Last updated: 30+ days ago • Promoted
Senior Auditor

Senior Auditor

Levelociti • Cleveland, OH, US
Full-time
We are a Top 200 CPA Firm based in Ohio for over 50+ years and counting! With 2 offices in the Greater Cleveland area, we are in growth mode and adding to our team of 250+ employees.We are also kno...Show more
Last updated: 30+ days ago • Promoted
Senior Auditor

Senior Auditor

All Pro Recruiting • Westlake, OH, US
Full-time
Seeking Full-Time Public Accounting Audit Senior for our thriving.Come work at a CPA firm that has been named as one of the top places to work in the state!. Excellent advancement opportunities.We l...Show more
Last updated: 30+ days ago • Promoted
Safety & Compliance Specialist I

Safety & Compliance Specialist I

Kenan Advantage Group • North Canton, OH, USA
Full-time
This position is responsible for assisting with tasks to ensure compliance to safety standards.Join the industry leader! KAG is North America's largest independent fuels delivery and bulk liquids c...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Chemistry Auditor

Texas Licensed Chemistry Auditor

VirtualVocations • Akron, Ohio, United States
Full-time
A company is looking for a Freelance Chemistry Expert - Quality Assurance (AI Trainer).Key Responsibilities Create and refine content for accuracy and relevance in Biology Assess qualification t...Show more
Last updated: 30+ days ago • Promoted
Premium Auditor

Premium Auditor

Davies Risk Services • Cleveland, OH, US
Full-time
Gig Workers Wanted! .Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question – Welcom...Show more
Last updated: 30+ days ago • Promoted