regulatory Jobs in Virginia

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Medical Director

Pegasus Knowledge Solutions

Remote

Full-time

SummaryThe Medical Director serves a clinical leader across all Client companies and is responsible for medical oversight of the physical medicine network and utilization review, telephonic triage, first notification of loss, bill review and case management services. This role ensures that injured worker care is medically appropriate, evidence-based, cost-effective, and compliant with jurisdictional guidelines. Key Responsibilities Clinical Oversight Provide medical guidance on complex or high-c

ERP FDM Financials Consultant

The Planet Group

Remote

Contract

The Planet Group is hiring an ERP (Workday, Oracle/PeopleSoft, or SAP) Consolidation / Multi-Currency Lead. This is a contract role, remote, with minimal travel to FL (expenses to be reimbursed), 6-month contract, 40 hrs/week. Overview: We are seeking an experienced Consolidation / Multi-Currency Lead to support a global Workday Financials implementation. This role will focus on leading the design and implementation of Workday's consolidation functionality across multiple regions with complex fi

Sr. Consultant - QNXT - Benefit configuration - Remote

Photon

Remote

Full-time

QNXT SME Job Description:Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass updates Perform gap

Senior Oracle Cloud Services Architect-Richmond, VA

Interon IT Solutions LLC

Richmond, Virginia, USA

Contract, Third Party

Title: Senior Oracle Cloud Services Architect Location: Richmond, VA Onsite Local Candidate only Duration: Long Term Contract Type: W2 & C2C Experience: 10+ years Interview: Either Web Cam & In person. Job Description: About The Role: Assist with the design, review, and implementation of Oracle OCI services and solution offerings. The position will work with customer agencies, managed cloud suppliers, as well as internal agency teams to ensure that architectures and environments provide ef

QXNT Benefit Configuration SME

Gov Services Hub

Remote

Contract

This is a remote position. Title: QXNT Benefit Configuration SME Duration: 12+ months Location : Remote Must Haves: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data

Technical Product Manager (TPM) - U.S. Citizen - This role sits within Optum Serves Technology Product organization

Widescope Consulting and Contracting Services

Remote

Full-time

Job Title: Technical Product Manager (TPM) Location: Headquarters / Telecommute Classification (HR only): Exempt Non-Exempt Reports To (Title): COO Widescope Consulting and Contracting JOB SUMMARY Widescope Consulting and Contracting is proud to serve our nation's military and Veterans. We support federal agencies in advancing the U.S. Health Care System and improving the overall well-being of those who serve or have served our country. Our information technology and digital product services ar

Director, Privacy Technology Solutions (Remote)

Quest Diagnostics Inc.

Remote or Norristown, Pennsylvania, USA

Full-time

Job Description Working with IT, Legal, Compliance and the Privacy Office, provide advice, counsel and support to business teams related to the application of privacy laws, regulations policies and principles to various technology-related products, services and processes. Knowledge of HIPAA/HITECH required, and familiarity with state privacy and data protection laws (including CCPA), global data protection law (primarily GDPR and PIPEDA), marketing and/or general data privacy and protection pri

ServiceNow Product Consultant (Risk, Compliance & Security)

Avance Consulting

Remote

Full-time

Job Description Responsibilities include: Lead short term ServiceNow consulting/advisory assignment in the customer environment to: Lead discovery effort to design an approach and roadmap of Risk Management, GRC, TPRM using ServiceNow Integrated Risk Management (IRM) product suite Lead assessment of current ServiceNow IRM implementation and set up to recommend gaps, improvement areas, best practices, continual transformation. Work As a solution consultant and lead architect for ServiceNow Int

Senior GRC Analyst, Information Security

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description Candidate must be able to work in the PST time zone. Job Summary This position will execute the Information and Cybersecurity Risk Management programs, concentrating on internal and third-party risk assessments and audits. Assessment and compliance activities include validating controls in the IT department, managing risk findings, and verifying their remediation. Must have excellent written and verbal communication skills and a strong understanding of IT risks, cloud security

Senior Insurance Applications Admin

360care

Remote or Louisville, Kentucky, USA

Full-time

Overview The senior applications administrator is responsible for managing the full lifecycle of insurance application management from coding and processing to policy distribution. This role is also responsible for assisting with personnel training and mentorship, having a strong understanding of insurance regulations, attention to detail, and strong technical skills. Responsibilities Translate complex insurance policy requirements and parameters into system-specific code, ensuring accuracy a

Manager, Manufacturing, Science, and Technology (MSAT) (425)

Civica Rx

Petersburg, Virginia, USA

Full-time

About Civica: Critical shortages of essential generic injectable drugs are an ongoing crisis in U.S. healthcare and have reached an all-time high. Over 300 essential medications are currently reported to be in shortage, according to industry and FDA reports. Shortages put patients at risk and waste hospital resources. Civica is a market-based nonprofit solution created in 2018 by health systems and philanthropies for the express purpose of preventing and mitigating drug shortages. Today, near

Remote with travel - Fraud Investigator Consultant

Prodware Solutions

Remote

Contract

Our client is looking to hire for below roles - Job Title: Fraud Investigator ConsultantLocation: East Coast Duration: 3 - 6 MonthsRemote with potential travel of ~25-30% every month (Expenses with be Paid)Industry: Retail Banking, credit card preferred Key Responsibilities: Lead end-to-end investigations into merchant-related fraud, including application & synthetic identities, shell companies, transaction laundering, and, Card-not-present (CNP) fraud (e-commerce, mobile, digital wallets), ATO

SAP IS-U Techno-Functional Consultant

York Solutions, LLC

Remote

Contract

SAP IS-U experience is required Position Overview: Combining technical expertise in software with deep functional utility domain knowledge to design & configure. Supports solution delivery through requirement translation, config/testing support and cross functional collaboration with technical understanding in selected software. The role combines technical expertise in chosen software with deep functional knowledge to design, configure and optimize solutions across key utility operations. Respo

Oracle EBS Consultant (Payroll, Benefits) - Fusion not required

Sutherland Digital Services Inc

Remote

Full-time

Job Title: Oracle EBS 12.2.9 Payroll & Benefits Technical Consultant (Do not send Fusion Resumes) Location: Remote (After 3-6 months resource need to be Onsite Oxnard, CA) Payroll Technical Development: Develop and customize Oracle EBS Payroll (US) and Benefits (US) solutions through coding and configuration, focusing on elements like earnings, deductions, tax calculations, and costings. Open enrollments and rates uploadsCreate and maintain RICE components (Reports, Interfaces, Conversions, Exte

Epic Data & Reporting Analyst (Cogito / Radar) ** W2 ONLY & 100% Remote **

Amerit Consulting

Remote

Contract

Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks accomplished Epic Data & Reporting Analyst (Cogito / Radar). Candidate must be authorized to work in USA without requiring sponsorship Location: San Francisco, CA (100% Remote) Duration: 22 weeks contract w/ possibility of extension Notes: 100% Remote acceptable.Work hours: Mon - Fri, 8 hours a day between 07:00am 05:00pm Pacif

Sr OCI Cloud Services Architect

Beacon Systems, Inc

Richmond, Virginia, USA

Third Party, Contract

About Beacon Systems, Inc Beacon Systems, Inc, delivers Program Management, Science, Engineering, and Technology Solutions to Federal, Commercial, State, and Local Agencies. We are a subsidiary of Radiant Digital Solutions. Our Technology support to many DoD Agencies, NASA, Voice of America, FDA, and State Agencies such as State of FL, RI, MS, ND, VA, and WV extends our delivery of solutions worldwide. Position: Sr OCI Cloud Services Architect Duration: 8 Months plus Location: Hybrid - Richmond,

Infrastructure/DevOps Sr Group Mgr - Director

Citi

Remote or Irving, Texas, USA

Full-time

The Infrastructure/DevOps Senior Group Manager is a senior management level position responsible to provide leadership and direction for DevOps/Infrastructure team supporting the entire Enterprise Risk Technology (ERT) portfolio. The Infrastructure/DevOps Senior Group Manager is responsible for accomplishing results through the management of a team or department in an effort to establish and implement new or revised application systems and programs in coordination with the Technology Team. The o

SAP Consultant specializing in Leave Management and Compliance Tracking

Nexxora Inc.

Remote

Contract, Third Party

URGENT NEED SAP Consultant specializing in Leave Management REMOTE LONG TERM Job Summary: We are looking for a proactive and detail-oriented SAP Consultant specializing in Leave Management and Compliance Tracking to support our HR technology environment. The role will involve configuring and maintaining time off policies, ensuring compliance with labor laws and internal policies, and supporting global leave management processes through SAP systems such as SAP HCM Time Management or SuccessFactor

OCI Cloud Services Architect

RedSalsa Technologies, Inc.

Richmond, Virginia, USA

Contract

ON SITE REQUIRED: 4 days /each week- Oracle OCI specific certifications (Cloud Ops, Architecture, Security, etc) are REQUIRED The details of the position are as mentioned below: Title : Sr OCI Cloud Services Architect (773430) Location : 23225,Richmond,VA Duration : 9 + Months Job Type : C Description : ON SITE: 4 days/week required ABOUT THE ROLE Assist with the design, review, and implementation of Oracle OCI services and solution offerings. The position will work with customer agencies, ma

IT Audit Consultant - Technology Infrastructure & Operations

M&T BANK CORPORATION

Remote or Buffalo, New York, USA

Full-time

THIS ROLE WILL BE HYBRID 3 DAYS/WEEK OUT OF: BUFFALO NY, BRIDGEPORT CT, or WILMINGTON DE Overview: Provides senior level expertise for audits over the Bank's Information Technology (IT) Engineering, Operations, Governance, Risk Management and Architecture functions. Responsible for overseeing, leading and executing annual risk assessments, audit examinations, continuous auditing & monitoring, and remediation plan validations. Communicate audit progress and findings to Bank management and overse