Health Plan Regulatory Compliance Specialist

Community First Health Plans; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Community First Health Plans seeks a Compliance & Regulatory Specialist to help oversee and execute compliance across operations and delegated activities. You will coordinate regulatory deliverables and assist with interpreting changes in guidelines, including HIPAA, to improve transparency and accountability.

The role requires familiarity with Texas Medicaid, TDI, CMS, and related regulatory bodies, plus strong MS Office skills. A related bachelor’s degree or equivalent experience is preferred.

Qualifications

• Bachelor's degree in business administration, public administration, health care administration or a related field.
• Proficiency in Microsoft Office applications.

Responsibilities

• Assist in oversight and execution of compliance in the health plan's operational areas.
• Coordinate and facilitate the execution of regulatory deliverables.
• Interpret and implement changes in regulations and guidelines, including HIPAA.

Education

Bachelor's degree in business administration, public administration, health care administration or related field

Tools

Microsoft Office

Job description

Community First Health Plans seeks a Compliance & Regulatory Specialist to help oversee and execute compliance across operations and delegated activities. You will coordinate regulatory deliverables and assist with interpreting changes in guidelines, including HIPAA, to improve transparency and accountability.

The role requires familiarity with Texas Medicaid, TDI, CMS, and related regulatory bodies, plus strong MS Office skills. A related bachelor’s degree or equivalent experience is preferred.