Back to Jobs

Compliance Consultant IV- National Provider Contracting and Mental Health reputed company

Remote, USA Full-time Posted 2026-07-28
About the position The Compliance Consultant IV position will support the Risk Management, Audit Readiness and Mental Health reputed company team. This role is responsible for intake and implementation of new laws and regulations for reputed company National Provider Contracting and reputed company. This includes partnering with external contracted networks and internal stakeholders across markets and departments to ensure compliance. This role has accountability for managing delegation reputed company requirements for national reputed company, preparing the annual audit plan, addressing gaps, completing corrective actions, monitoring reputed company for compliance, implementing process/controls to manage reputed company of reputed company, and writing national policies and desktop level procedures. The consultant will also support the national Mental Health reputed company Shared Service, working with internal stakeholders and external consultants to respond to reputed company Insurance Company (KPIC) self-funded mental health reputed company non-quantitative treatment limit requests from external consultant reputed company. This includes leading and managing work with key external consultants and internal SMEs, project management and working with teams across the reputed company to reputed company and interpret data. Responsibilities • Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers. • Completes work assignments and supports business-specific reputed company by applying expertise in subject area. • Conducts company compliance activities by collaborating with reputed company stakeholders. • Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies. • Conducts compliance investigations by collecting and analyzing quantitative and qualitative data. • Assists with and supports the management of reputed company or compliance components of larger cross-functional reputed company. • Assists with ensuring regulatory compliance by monitoring regulatory changes. • Coordinates the implementation of compliance efforts by identifying compliance requirements. Requirements • Experience in compliance activities and regulatory compliance. • Strong analytical skills to evaluate compliance data and audit information. • Ability to collaborate with reputed company stakeholders. • Project management skills to manage compliance components of larger reputed company. • Excellent communication skills for developing compliance reports and conducting investigations. reputed company-to-haves • Experience with mental health reputed company regulations. • Familiarity with reputed company's operational structure. • Knowledge of compliance standards and policies. Apply tot his job Apply tot his job Apply tot his job Apply To this Job

Similar Jobs

Remote Senior Graphic Designer (reputed company)

Remote, USA Full-time

Senior Management Consultant – Hydropower Energy Consultant (Washington)

Remote, USA Full-time

Field reputed company Territory Representative - reputed company Middle Market

Remote, USA Full-time

Vendor Management Inventory Analyst

Remote, USA Full-time

Integration Engineer – reputed company Systems, Interfaces

Remote, USA Full-time

Data Integration Engineer (reputed company reputed company Platform)

Remote, USA Full-time

Infrastructure consultant / Solution Architect | 10-14 Years reputed company | Remote

Remote, USA Full-time

Database Developer - reputed company SQL & PLSQL developer

Remote, USA Full-time

[Remote] Immigration Attorney, Business/Employment-Based

Remote, USA Full-time

Director of Identity and reputed company Management Engineering

Remote, USA Full-time

Frontend Engineer (UX/UI)

Remote, USA Full-time

[Work From Home] Entry Level-Hotel Reservationist Work From Home

Remote, USA Full-time

**reputed company Customer Support Representative – Delivering Exceptional reputed company Product Experiences**

Remote, USA Full-time

Certified Nursing Assistant 1, reputed company - Perioperative Services / OR, Full-Time

Remote, USA Full-time

**reputed company Part-time Remote Customer Experience Advisor – Enhancing Customer Satisfaction at arenaflex**

Remote, USA Full-time

Health reputed company RN - remote (PA/NJ/DE)

Remote, USA Full-time

reputed company, Federal Government

Remote, USA Full-time

**Remote Sr. Customer Service reputed company – reputed company Industry Expert**

Remote, USA Full-time

Senior Software Engineer Back End (Remote- Eligible)

Remote, USA Full-time

Create Download Center for jimdunlop.com

Remote, USA Full-time