Job Description Join a dynamic team dedicated to ensuring compliance across delegated entities within a managed medical health plan. As a Regulatory & Compliance Oversight Nurse, you will play a key role in conducting audits, managing Corrective Action Plans (CAPs), and supporting regulatory adherence to state and federal guidelines. Conduct monthly audits using automated audit tools and Excel-based templates Review random samples of 5 case files per month for compliance Score delegate performance based on regulatory measures Manage CAPs for delegates failing consecutive audits Track CAP status, monitor responses, and ensure resolution of issues Present CAP updates via slide decks and participate in bi-weekly clinical team meetings Collaborate with Preferred Provider Groups (PPGs) to review clinical records Maintain accurate documentation and engage in follow-up communications We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Associates or Bachelors Degree in Nursing Active RN certification Minimum 5 years of clinical experience Prior experience in managed medical health plans and utilization management Familiarity with delegation oversight and compliance audits null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.