Senior Compliance Auditor: Health Plan Risk & Quality
Inland Empire Health Plans
Inland Empire Health Plans is seeking a Compliance Auditor II to conduct comprehensive audits across the Plan, ensuring adherence to Federal, State, and contractual requirements. You will identify risks, draft findings, and recommend improvements to strengthen the control environment. The role involves evaluating operations and policies, issuing corrective action plans, and monitoring implementation while aligning with IEHP's quality initiatives like HEDIS, CAHPS, and NCQA Accreditation. #J-18808-Ljbffr Inland Empire Health Plans
- ...California, United StatesCompany: Inland-Empire-Health-Plan-Posted: 2026-08-03Inland Empire Health Plan (IEHP) seeks a Compliance Auditor II to conduct comprehensive audits across... ...contract requirements. The role identifies risks, drafts findings and actionable...SeniorRiskHealth InsuranceContract work
- ...authentic experience. The Compliance Auditor II conducts... ...and reviews across the Plan, including assigned areas... ...Identifies and assesses risks impacting overall compliance... .... Commitment to Quality: The IEHP Team is committed... ...Spending Account - Health Care/Childcare CalPERS...QualityRiskHealth InsuranceTemporary workWork experience placementFlexible hours
- ...shared success. The Senior Lead Auditor is responsible for planning, leading, and executing... ...effectiveness, regulatory compliance, and third-party vendor... ...of governance, risk management, and internal... ...established timelines and quality standards. · Prepare clear...QualitySeniorRiskWork experience placementWork at office
$280.84k - $393.18k
...the Vice President of Health Services, the Senior Medical Director... ...as effective health plan performance as per DHCS... ...activities including quality management, grievance... ...population health, and other compliance and regulatory... ...to: credentialing and risk management, rules regulations...QualitySeniorRiskHealth InsuranceTemporary workLocal areaRemote work$220.04k - $302.54k
...President of Population Health, the Senior Director, Population... ...requirements related to low-risk Members. The Senior... ...to ensure IEHP compliance with population health... ...role in IEHP strategic plan initiatives under Optimal... ...mission. Commitment to Quality: The IEHP Team is...QualitySeniorRiskHealth InsuranceContract workTemporary workWork at officeLocal areaRemote workMonday to Friday$130k - $165k
...Description Apply Senior Construction... ...and to the highest quality standards.Compensations... ...inspections to ensure compliance with design intent,... ...Problem Solving & Risk Management -Proactively... ...to participate in health insurance and retirement plans, paid holidays, state...QualitySeniorRiskHealth InsuranceTemporary workFor subcontractorWork at office$280.84k - $393.18k
...Reporting to the Vice President of Health Services, the Senior Medical Director Policy &... ...health outcomes and health plan performance according to... ...accountable medical leader for quality management, grievance and... ...not limited to credentialing, risk management, rules and...QualitySeniorRiskHealth InsuranceTemporary workLocal areaFlexible hours- Southern California Edison (SCE) seeks a Compliance and Quality QA Cause Evaluation Senior Advisor to lead data analytics and cause evaluations, driving continuous... ...corrective actions. The role emphasizes reducing risk, preventing recurrence, and strengthening quality and...QualitySeniorRisk
- ...growing pharmaceutical company, seeks a Senior Quality Manager to lead QA and QC and drive GMP... ...ensuring data integrity and regulatory compliance. The role is on-site in Claremont, CA,... ..., and CRO partners, demanding rigorous risk-based QA practices. #J-18808-Ljbffr Medix...QualitySeniorRisk
$135.2k - $179.13k
...with IEHP business and Compliance units, the BRM is dedicated... ...projects, work plans, and initiatives are implemented... ....Commitment to Quality: The IEHP Team is committed... ...Spending Account - Health Care/ChildcareWellness... ...high complexity, and high-risk issues and projects inclusive...QualityRiskHealth InsuranceWork experience placementRemote workMonday to FridayFlexible hours- ...managing comprehensive employee benefit programs, overseeing compliance with regulations, and fostering a collaborative team environment... ...in benefits administration, and possesses leadership qualities along with strong communication skills. The position offers a...QualitySeniorHealth Insurance
- ...the Clean Energy RevolutionBecome a Compliance and Quality QA Cause Evaluation Senior Advisor at Southern California... ...partners, this leader helps reduce risk, prevent recurrence, and advance a... ...adherence to policies and procedures.Plans and implements continuous...QualitySeniorRiskRemote workRelocation
- Southern California Edison aims to recruit a Vegetation Management Compliance Quality Advisor in Pomona, CA to lead quality control and strategic... ...data governance, process improvement, training, and risk mitigation within a heavily regulated environment, with a hybrid...QualitySeniorRisk
$140k
...Description Job Description SENIOR VICE PRESIDENT, HEALTH PLAN GROWTH & STRATEGY... ...-based services, and high-risk member engagement. B.... ...with legal counsel, finance, compliance, operations, and clinical... ...Service expectations Quality requirements Geographic...QualitySeniorRiskHealth InsuranceFull timeContract work- Southern California Edison is seeking a Compliance & Quality Reporting Sr. Data Analyst in California to lead data analysis, audits, and performance... ...and interpretation to support regulatory compliance and risk mitigation. Ideal candidates have 5+ years in advanced analytics...QualitySeniorRisk
- ...impact in eye health worldwide. In support... ...access to quality eye care. Benefits... ...SUMMARY: The Senior Manager,... ...influencing long-term planning, policy... ...Perform all work in compliance with New World... ...assess associated risks of their... ...and orally with auditors, suppliers, supervisors...QualitySeniorRiskHealth InsuranceWork at officeWorldwide
- ...Join to apply for the Senior In-House Litigation Attorney... ...areas of potential risk, including regulatory,... ...collaborators, ensuring compliance with existing and developing... ...the delivery of quality care for all patients,... ...Industries Hospitals and Health Care and Information Technology...QualitySeniorRiskFull timeRelocationRelocation package
- ...Clean Energy Revolution Become a Compliance and Quality QA Cause Evaluation Senior Advisor at Southern California Edison... ..., this leader helps reduce risk, prevent recurrence, and advance a... ...adherence to policies and procedures. Plans and implements continuous improvement...QualitySeniorRiskRemote workRelocation
- New World Medical is hiring a Senior Manager of Supplier Quality Assurance to lead a team of supplier quality... ..., and oversee CAPAs and supplier risk management. The role partners with R... ...relationships, and influence long-term quality planning in a regulated medical devices...QualitySeniorRisk
$100.8k - $151.2k
...implement the business plan for area of responsibility... ...goals eg production quality safety and implement operational... ...of responsibilitys compliance with Logistics and... ...learn takes calculated risks demonstrates courage and... ..., body, and wallet. Health benefits include medical...QualityRiskHealth InsuranceFull timeTemporary workPart timeLocal area- New World Medical is seeking a Senior Manager, Supplier Quality Assurance to lead the supplier quality engineering team and drive excellence in supplier... ...the supply base. Challenging responsibilities include risk assessment, cross-functional collaboration with R&D, Sustaining...QualitySeniorRisk
- ..., coordinate resources, and ensure timely, quality outcomes on client projects. The role emphasizes proactive communication, risk management and budget control across diverse... ..., and a strong background in ensuring compliance with company policies and client expectations...QualitySeniorRisk
- IEHP is seeking a Compliance Auditor II to conduct comprehensive audits across the Plan, ensuring adherence to Federal, State, and contract requirements. You will identify risks, draft findings, and develop corrective action plans, overseeing reviews of operations, policies...RiskContract work
$24 - $33 per hour
...W15), Akido is expanding its risk-bearing care models and scaling... ...quickly and accurately with health plans and hospitals — so patients... ...function that supports high‑quality care, we’d love to meet you!... ...streamline workflows and strengthen compliance. Maintain compliance with...QualityRiskHealth InsuranceHourly payFull time$85k - $120k
SQF Practitioner / Quality Assurance Specialist... ...audit. Representing senior site management and... ...enforcing standards for health, safety, and legal compliance. Correcting problems... ...corrective action plan when necessary Interpret... ...reduce the defect risks Ability to work...QualityRiskHealth InsuranceWork experience placement$136k - $204k
...GTM Strategy & Execution Senior Manager (individual... ...multi-year go-to-market planning cycle while also translating... ...and surface planning risks early Maintain an... ...time and increase output quality Qualifications ~... ...: You may enroll in health, life, disability and voluntary...QualitySeniorRiskHealth InsuranceFull timeWork at officeAfternoon shift$70.3k
...youth who exhibit high risk behaviors including problematic... ...for a Full-Time Mental Health Therapist /Clinician (... ...and treatment plans. Collaborate with the... ...expansion and focusing on quality outcome measures to... ...applicants for employment in compliance with all federal and...QualityRiskHealth InsuranceFull timeTemporary workInternshipLocal areaImmediate start$25 per hour
...develop child's treatment plans and their updates.... ...offers the following: Health Insurance Dental... ...the empowerment of at-risk children and their families... ...expansion and focusing on quality outcome measures to... ...applicants for employment in compliance with all federal and...QualityRiskHealth InsuranceHourly payTemporary workLocal areaImmediate startAfternoon shift- Southern California Edison (SCE) is seeking a Compliance & Quality Reporting Senior Data Analyst to lead data analysis, audit scoping, performance reporting... ...tracking. The role supports regulatory compliance, risk mitigation, and enterprise reporting initiatives in a...QualitySeniorRisk
- Join the Clean Energy RevolutionBecome a Compliance & Quality Reporting Sr. Data Analyst at Southern California Edison (SCE) and build a better... ...and corrective action tracking that supports corporate goals, risk mitigation efforts and regulatory compliance. As a Compliance...QualitySeniorRiskRemote workRelocation
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