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Elevance Health
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Louisville, Kentucky
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, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams**
**Provide advanced level support to regulatory audits or exams, internal audits
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Elevance Health
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Louisville, Kentucky
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operations of accreditation and quality infrastructure work performed to meet regulatory requirements and ... .
Maintains documentation of research programs to meet regulatory and Accreditation Standards.
Provides
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Elevance Health
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Louisville, Kentucky
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projects are delivered on time, on scope and on budget.
Provides strategic counsel and executes
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Elevance Health
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Louisville, Kentucky
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level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
Provide advanced level support to regulatory audits or exams, internal audits
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Elevance Health
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Louisville, Kentucky
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knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory
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Elevance Health
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Louisville, Kentucky
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appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple ... , quality of service, and quality of care issues to include executive and regulatory grievances
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Elevance Health
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Louisville, Kentucky
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.
Ensures compliance with regulatory guidelines.
Resolves more routine issues or questions
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Elevance Health
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Louisville, Kentucky
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Pharmacist Clinical- Prior Authorization (Pharmacist Clinical)
_Location: Virtual with th
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Elevance Health
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Louisville, Kentucky
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management. This role leads external regulatory audits and collaborates with various departments to mitigate risk and achieve regulatory compliance.
How You Will Make an Impact
Primary duties
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Elevance Health
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Louisville, Kentucky
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, CMS, and State regulatory agencies; knowledge of NCQA vendors.
For candidates working in person
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Elevance Health
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Louisville, Kentucky
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appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple ... , quality of service, and quality of care issues to include executive and regulatory grievances
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Elevance Health
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Louisville, Kentucky
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management. This role leads external regulatory audits and collaborates with various departments to mitigate risk and achieve regulatory compliance.
How You Will Make an Impact
Primary duties
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Elevance Health
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Louisville, Kentucky
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and regulatory requirements
Support the development of proactive state and federal legislative ... plans, including ACA qualified health plans
State and federal legislative and regulatory processes
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Elevance Health
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Louisville, Kentucky
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procedures in compliance with system, regulatory and business requirements.
**Minimum Requirements
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Elevance Health
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Louisville, Kentucky
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monitors departmental processes and procedures in compliance with system, regulatory and business
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