Talent.com
Rule Operations Analyst
Rule Operations AnalystVirtualVocations • Arvada, Colorado, United States
No longer accepting applications
Rule Operations Analyst

Rule Operations Analyst

VirtualVocations • Arvada, Colorado, United States
6 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 • Arvada, Colorado, United States

Related jobs
Merchant Risk Analyst

Merchant Risk Analyst

VirtualVocations • Aurora, Colorado, United States
Full-time
A company is looking for a Merchant Risk Analyst to assess financial and non-financial risks associated with merchants.Key Responsibilities Assess risks and determine credit exposure for new and ...Show more
Last updated: 19 days ago • Promoted
California Licensed Audit Reviewer

California Licensed Audit Reviewer

VirtualVocations • Aurora, Colorado, 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: 4 days ago • Promoted
Inpatient Auditor

Inpatient Auditor

VirtualVocations • Aurora, Colorado, 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: 4 days ago • Promoted
Senior Compliance Associate

Senior Compliance Associate

VirtualVocations • Littleton, Colorado, United States
Full-time
A company is looking for a Senior Compliance Associate to assist with compliance programs in Funds and Investments Compliance. Key Responsibilities Monitor and update compliance policies and proce...Show more
Last updated: 30+ days ago • Promoted
Compliance Specialist - LIHTC

Compliance Specialist - LIHTC

VirtualVocations • Denver, Colorado, United States
Full-time
A company is looking for a Compliance Specialist focused on Affordable Housing.Key Responsibilities Deliver outstanding customer service to onsite teams during the file approval process Review r...Show more
Last updated: 1 day ago • Promoted
Senior Compliance Specialist

Senior Compliance Specialist

VirtualVocations • Aurora, Colorado, United States
Full-time
A company is looking for a Senior Regulatory Compliance Specialist.Key Responsibilities Manage and resolve inquiries, complaints, and investigations related to compliance and legal matters Condu...Show more
Last updated: 30+ days ago • Promoted
Surety Analyst

Surety Analyst

Aon • Denver, CO, United States
Full-time +1
Aon has an opportunity available for a Surety Analyst in our West region!.Do you have a basic knowledge of Surety, bond issuance and execution and Surety bond management applications? Or are you or...Show more
Last updated: 1 day ago • Promoted
FSI Auditor

FSI Auditor

Manpower Group Inc. • Denver, CO, United States
Temporary
Hybrid and Remote opportunities.Jefferson Wells is seeking Audit Consultants who bring expertise from the banking industry to join our dynamic and dedicated audit team. As an Audit Consultant with J...Show more
Last updated: 1 day ago • Promoted
Inpatient Audit Specialist

Inpatient Audit Specialist

Datavant • Denver, CO, United States
Full-time +1
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format....Show more
Last updated: 1 day ago • Promoted
Senior Analyst, Member Experience

Senior Analyst, Member Experience

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for a Senior Analyst, Member & Guest Experience.Key Responsibilities Manage survey programs and Voice of the Customer (VoC) platforms, ensuring accurate sampling and governan...Show more
Last updated: 6 days ago • Promoted
Audit Analyst

Audit Analyst

VirtualVocations • Denver, Colorado, 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
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for an Insurance Verification and Authorization Specialist.Key Responsibilities Verify new patient accounts and review insurance benefits for accuracy Utilize payor portals ...Show more
Last updated: 30+ days ago • Promoted
QHP Coding Auditor

QHP Coding Auditor

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for a QHP Coding Auditor (REMOTE).Key Responsibilities Conduct initial chart reviews and coding quality audits to validate ICD-10-CM code accuracy Abstract and audit codes f...Show more
Last updated: 1 day ago • Promoted
State Licensed Compliance Analyst

State Licensed Compliance Analyst

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for a Compliance Analyst II to assist in the development and oversight of compliance and HIPAA privacy programs. Key Responsibilities Investigate and coordinate responses to i...Show more
Last updated: 30+ days ago • Promoted
Label Reviewer

Label Reviewer

VirtualVocations • Boulder, Colorado, United States
Full-time
A company is looking for a Label Reviewer (Remote).Key Responsibilities Review labels, documents, and records against checklists, SOPs, and regulatory standards Identify discrepancies, formattin...Show more
Last updated: 30+ days ago • Promoted
Property Field Adjuster (Thornton, CO)

Property Field Adjuster (Thornton, CO)

American Family Insurance • Thornton, CO, United States
Full-time
As a property field adjuster, you will investigate and maintain property / claims.Determine liability, secure information, reviews coverages, arranges appraisals, and settle claims.Travel may vary b...Show more
Last updated: 30+ days ago • Promoted
Outpatient Audit Specialist

Outpatient Audit Specialist

Datavant • Denver, CO, United States
Full-time
Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format....Show more
Last updated: 1 day ago • Promoted
Risk Adjustment Audit Senior Analyst

Risk Adjustment Audit Senior Analyst

VirtualVocations • Littleton, Colorado, 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