Talent.com
Rule Operations Analyst
Rule Operations AnalystVirtualVocations • Boca Raton, Florida, United States
No longer accepting applications
Rule Operations Analyst

Rule Operations Analyst

VirtualVocations • Boca Raton, Florida, 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 • Boca Raton, Florida, United States

Related jobs
Certified Risk Adjustment Auditor

Certified Risk Adjustment Auditor

VirtualVocations • Hialeah, Florida, 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
California Licensed Audit Reviewer

California Licensed Audit Reviewer

VirtualVocations • Fort Lauderdale, Florida, 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
Premium Audit Technician

Premium Audit Technician

VirtualVocations • Boca Raton, Florida, 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
Risk Adjustment Audit Senior Analyst

Risk Adjustment Audit Senior Analyst

VirtualVocations • Boca Raton, Florida, 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
Senior Compliance Associate

Senior Compliance Associate

VirtualVocations • Hialeah, Florida, 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
Senior Premium Auditor

Senior Premium Auditor

VirtualVocations • Fort Lauderdale, Florida, 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
Audit Analyst

Audit Analyst

VirtualVocations • Fort Lauderdale, Florida, 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
Tennessee Licensed Compliance Specialist

Tennessee Licensed Compliance Specialist

VirtualVocations • Hialeah, Florida, United States
Full-time
A company is looking for a Compliance Specialist (TN Remote).Key Responsibilities Execute the consumer complaint resolution process and manage complaint logs Review and resolve consumer disputes...Show more
Last updated: 30+ days ago • Promoted
ISO 27001 Auditor

ISO 27001 Auditor

VirtualVocations • Boca Raton, Florida, 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: 11 hours ago • Promoted • New!
AI Audit Specialist

AI Audit Specialist

VirtualVocations • Boca Raton, Florida, United States
Full-time
A company is looking for an AI Audit Methodology Specialist.Key Responsibilities Design, test, and refine prompts and datasets to enhance AI accuracy in audit documentation Curate and contextual...Show more
Last updated: 5 days ago • Promoted
Portfolio Compliance Associate

Portfolio Compliance Associate

VirtualVocations • Fort Lauderdale, Florida, United States
Full-time
A company is looking for a Portfolio Compliance and Review Associate.Key Responsibilities Establish controls in Bloomberg AIM to ensure adherence to investment limits and restrictions in ETF disc...Show more
Last updated: 5 days ago • Promoted
Inpatient Auditor

Inpatient Auditor

VirtualVocations • Fort Lauderdale, Florida, 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
Senior Audit Strategist

Senior Audit Strategist

VirtualVocations • Boca Raton, Florida, 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, Assurance Services

Senior Auditor, Assurance Services

CyberCoders • Fort Lauderdale, FL, US
Full-time
Senior Auditor, Assurance Services.Senior Auditor, Assurance Services.A Leading Public Accounting Firm.West Palm Beach, FL and Fort Lauderdale, FL. Our Firm is actively seeking dynamic and dedicated...Show more
Last updated: 18 hours ago • Promoted • New!
Massachusetts Licensed QHP Auditor

Massachusetts Licensed QHP Auditor

VirtualVocations • Boca Raton, Florida, 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: 5 hours ago • Promoted • New!
Florida Licensed Compliance Specialist

Florida Licensed Compliance Specialist

VirtualVocations • Boca Raton, Florida, United States
Full-time
A company is looking for a Compliance Specialist (FL Remote).Key Responsibilities Execute the consumer complaint resolution process and manage complaint logs Review and investigate consumer disp...Show more
Last updated: 4 days ago • Promoted
Texas Licensed Chemistry Auditor

Texas Licensed Chemistry Auditor

VirtualVocations • Fort Lauderdale, Florida, 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
Senior Auditor (NC Licensed)

Senior Auditor (NC Licensed)

VirtualVocations • Boca Raton, Florida, 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: 17 hours ago • Promoted • New!