regulatory Jobs in ohio

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Senior Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana

SAP Group Reporting Program Manager

Shimento, Inc.

Remote

Contract, Third Party

SAP Group Reporting Program Manager Remote, Travel, Carlsbad, CA Duration: - 6- 12 Months About the position The SAP Group Reporting Program Manager will lead the strategic planning and execution of SAP Group Reporting initiatives, ensuring alignment with the organization's financial consolidation, compliance, and reporting needs. This role involves managing a cross-functional team, engaging with stakeholders, overseeing financial oversight, and ensuring compliance with regulatory standards. T

Oracle Payroll Technical Specialist

Georgia IT

Remote

Contract

Job Title: Oracle Payroll Interface SME Location: Remote Job Summary: We are seeking an experienced Oracle Payroll Interface SME to lead and support the implementation, enhancement, and ongoing management of payroll integrations between Oracle Cloud HCM and various third-party payroll providers. The ideal candidate will possess deep functional and technical expertise in Oracle HCM Cloud, with a strong focus on Payroll and Inbound/Outbound integrations. Key Responsibilities: Serve as the Subject

SAP FICO/RTR Lead (32631)

Myticas LLC

Winnipeg, Manitoba, Canada

Contract

Myticas Consulting is seeking an experienced SAP FICO/RTR Lead for a long-term HYBRID contract with a major utility and energy client. This is a senior-level techo-functional role requiring a mix of deep functional finance expertise and strong technical capabilities within the SAP ecosystem. The position requires frequent travel (50-70%) to Winnipeg, MB, and the consultant may be based anywhere in Canada. Project Scope: The successful candidate will help develop methodologies, tools, and thoug

RxCLAIM SME

Data Wave Technologies Inc

US

Contract

Job Title: RxCLAIM SME Location: Remote Duration: Long term Tax Term: W2 Key Technology: RxClaim, PBM Job Responsibilities: Act as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms. Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications. Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy,

SAP - Blueprinting Lead

NexInfo Solutions, Inc.

Remote

Contract

Title: SAP - Blueprinting LeadLocation: Remote Job Description:15+ Years of Experience, Consulting / Tech Consulting expertise, Hands on Blue Printing expertise, LifeScience / Biotech experience. Travel for key milestones / Phases.Lead the SAP blueprinting phase across functional domains (Finance, Supply Chain, Manufacturing, Quality, etc.).Manage engagement scope, deliverables, timelines, and client communications.Drive workshops to gather and validate business, process, and technical requireme

Prior Auth Nurse (RN)

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Prior Auth Nurse (RN). This is a 03+months contract opportunity with long-term potential and is located in Olympia, WA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-80708 Pay Range: $37 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Performs medical necessity and cli

Senior Project Manager/Senior Healthcare Project Manager

TekLeaders, Inc

Remote or Chicago, Illinois, USA

Full-time, Part-time, Contract, Third Party

Title: Senior Project Manager/ Senior Healthcare Project Manager Duration: 12+ Months Location: Chicago IL (100% Remote) Job Summary: We are looking for an experienced Senior Manager - Client Services with a strong background in the healthcare domain to lead strategic client engagements focused on AI and Automation adoption. This leadership role involves working closely with C-level executives, managing change across large healthcare organizations, and driving transformation programs that su

C2H Role || SAP QM Expert with A&D || Fully Remote

Gtech LLC

Remote or US

Full-time, Contract, Third Party

C2H Role Fully Remote Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geography. -Specific SAP component configuration and deployment experience: Key Responsibilities

Validation Engineer

Merck KgaA

Miamisburg, Ohio, USA

Full-time

Work Location: Miamisburg, Ohio Shift: No Department: LS-SC-PEMM Engineering & Maintenance Recruiter: Renay Middleton Hiring Manager: John Shay This information is for internals only. Please do not share outside of the organization. Your Role: In this role you will develop and execute validation protocols to ensure compliance with Good Manufacturing Practices (GMP) and regulatory requirements. This role is crucial for maintaining the quality and integrity of manufacturing processes and produ

Forensics Analyst - FA 0804 DIR#01

Compu-Vision Consulting, Inc.

Remote

Third Party, Contract

Job Title: Forensics Analyst Location: Remote Contract Duration: 6 Months Employment Type: Contract Position Overview: We are seeking a skilled Forensics Analyst to join our remote team on a 6-month contract. The ideal candidate will be responsible for performing comprehensive digital forensic investigations involving system artifacts, memory, file systems, email, malware, and social media forensics. This role plays a crucial part in identifying, analyzing, and documenting cybersecurity incident

Technical Project Manager with Mainframe

MindFore Inc

Remote

Contract

Job Title: Technical Project Manager with Mainframe Location: Austin, TX Remote Job Description: Project Management: Lead the end-to-end management of Mainframe Transformation and Azure-based technical initiatives.Stakeholder Engagement: Facilitate communication between technical teams, business units, and leadership to ensure alignment.Technical Oversight: Understand and manage technical solution roadmaps in Azure, including DevOps CI/CD and software integration strategies. Agile Delivery: App

SAP QM Expert

Techwave Consulting Inc

Remote

Contract

Job Opportunity: SAP QM Expert with A&D - SAP NS2 Duration: 4 months could extend Location: Remote Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geography. -Specific S

Appeals & Grievance (Claim Medicare) Analyst

Digitive LLC

Remote

Contract

Job Title: Claim Processor Location: 100% Remote Contract: 12+ Months Job Description Responsible for reviewing and resolving provider disputes and communicating resolution to provider in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Job Responsibilities: Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from providers and related outside agencies to ensure that internal and/or

Infor M3 CloudSuite Architecture

Nsight

Remote

Contract

We are seeking a highly skilled M3 CloudSuite Architect to lead the design, implementation, and optimization of ERP solutions that support our mission of delivering high-quality firearm parts, gunsmithing tools, and tactical gear to professionals and enthusiasts. This role will be critical in aligning our ERP architecture with the operational needs of a complex, compliance-driven, and customer-focused distribution and manufacturing environment. Looking for an individual with the ability to analy

Data Protection Engineer - Expert

Huntington Bank

Columbus, Ohio, USA

Full-time

Description Job Description We are looking for a seasoned Data Protection Engineer, Expert to join our cybersecurity and compliance team. This role is critical in safeguarding sensitive financial data, ensuring regulatory compliance, and enabling secure collaboration across our Microsoft 365 environment. You will lead the implementation and optimization of Microsoft Purview and related M365 security tools to support our enterprise data protection strategy. Key Responsibilities Assist with desi

Data Protection Engineer - Expert

Huntington National Bank

Columbus, Ohio, USA

Full-time

Description Job Description We are looking for a seasoned Data Protection Engineer, Expert to join our cybersecurity and compliance team. This role is critical in safeguarding sensitive financial data, ensuring regulatory compliance, and enabling secure collaboration across our Microsoft 365 environment. You will lead the implementation and optimization of Microsoft Purview and related M365 security tools to support our enterprise data protection strategy. Key Responsibilities Assist with design

SAP QM Expert - - Remote

Techwave Consulting Inc

Remote

Third Party, Contract

Job Opportunity: SAP QM Expert with A&D - SAP NS2 Duration: 6 months could extend Location: Remote Citizenship: Description: The SAP Solution Expert, QM, will drive implementation of quality management processes to engender compliance with aerospace industry standards. Candidate MUST HAVE: -A&D / discrete manufacturing experience. Note: A&D does not equal Public Sector -Experience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geograp

Fircosoft Developers

TQUAL SOLUTIONS

Remote

Contract

JD for the Fircosoft Developers: Opportunity for a Fircosoft developer in the OFAC compliance space. The candidate will be a significant contributor to a globally diverse team which is responsible for enhancing and maintaining our sanction screening platform. Challenges will include the deployment of a new Fircosoft Continuity V6 platform, back-end rule writing, OFAC screening of real-time financial messages, configuring, testing, and deploying product enhancements, building new utilities and

Senior Gen AI Engineer

Photon

Remote

Contract, Third Party

Job Title: Senior Gen AI Engineer Location: TX (Remote) We are seeking a Senior Generative AI Engineer with a passion for building intelligent, agentic systems that transform how consumers interact with healthcare. This role is ideal for hands-on, driven individuals who want to be at the forefront of AI innovation designing and deploying LLM-powered agents that provide dynamic, context-aware, and personalized chat experiences. As a Senior Engineer, you will contribute to the development of agent