Policy Governance Professional (Fully Remote)

Partner Company; United States; Remote; USD 65,000 - 89,000; Full time

Benefits offered by this job

Bonus

Medical insurance

Dental insurance

Vision insurance

401(k)

PTO

Parental leave

Disability

Life insurance

Remote work

Job summary

Partner Company is seeking a dedicated professional to support Medicaid utilization management policy governance and compliance. You will own NCQA reporting and governance processes and collaborate with cross-functional teams to resolve issues with data validation and corrective actions.

The role emphasizes strong Excel, analytical, and coordination skills, with remote work options and a comprehensive benefits package including bonus, medical, dental, vision, and 401(k).

Qualifications

• Degree in healthcare operations or related field and experience in healthcare.
• Strong Excel, analytical, and coordination skills.

Responsibilities

• Support policy governance and compliance in Medicaid UM.
• Coordinate reporting, data validation, and corrective actions.
• Own NCQA reporting and governance processes.
• Collaborate with teams to resolve issues.

Skills

Excel

Analytical

Coordination

Education

Degree in Healthcare Operations

Job description

• Support policy governance and compliance in Medicaid UM.
• Coordinate reporting, data validation, and corrective actions.

Accountabilities:

• Own NCQA reporting and governance processes.
• Collaborate with teams to resolve issues.

Requirements:

• Degree and healthcare operations experience.
• Strong Excel, analytical, and coordination skills.
• Salary $65k-$88.6k, bonus, medical, dental, vision, 401(k).
• PTO, parental leave, disability, life insurance, remote work.

Partner Company

Healthcare operations company specializing in Medicaid utilization management, regulatory compliance, and policy governance. It operates across multiple markets with a collaborative, multidisciplinary team culture.