Regulatory & Payer Ops Lead - Healthcare Compliance

Coloplast; Florida; On-site; USD 27,000 - 39,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid leave and parental leave

Wellness programs

Job summary

Coloplast is seeking a Regulatory & Payer Operations Support Specialist in Coral Springs, FL. This role leads local regulatory, payer survey readiness, Medicaid coordination, and supports insurance verification, prior authorizations, audits, and medical records retrieval.

Collaboration with clinical, revenue cycle, and regulatory teams ensures compliance and efficient operations. Responsibilities include coordinating surveys, maintaining regulatory docs, monitoring payer requirements, and

Qualifications

• Minimum 2 years' experience with Medicaid, Medicare, payer operations, revenue cycle, healthcare reimbursement, or regulatory compliance.
• Experience with insurance verification, prior authorization processing, or payer communications.
• Experience supporting audits, surveys, compliance reviews, or regulatory inspections.

Responsibilities

• Regulatory affairs: local point of contact for CMS, Medicaid, accreditation, and payer surveys.
• Medicaid & payer relations: monitor regulations, liaise with agencies and payers, support eligibility and claims.</br>
• Insurance verification & prior authorization: verify eligibility, process requests, communicate status to patients and providers.
• Audit response & medical records: collect documentation, chase records, and track deadlines.
• Office administrative support: onboarding, training coordination, and maintaining records.

Skills

MS Office

Documentation

Communication

Organization

Problem-solving

Prioritization

Education

Associate or Bachelor's degree in healthcare/Regulatory

Job description

Coloplast is seeking a Regulatory & Payer Operations Support Specialist in Coral Springs, FL. This role leads local regulatory, payer survey readiness, Medicaid coordination, and supports insurance verification, prior authorizations, audits, and medical records retrieval.

Collaboration with clinical, revenue cycle, and regulatory teams ensures compliance and efficient operations. Responsibilities include coordinating surveys, maintaining regulatory docs, monitoring payer requirements, and