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
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Compliance Auditor: Health Plan Risk & Quality in Rancho Cucamonga, CA vacancy
- ...California, United StatesCompany: Inland Empire Health PlanPosted: 2026-09-01Inland 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
$80.06k - $106.06k
...experience! Role Overview The Compliance Auditor II conducts... ...and reviews across the Plan, including assigned areas... ...and assesses risks impacting overall compliance... ...necessary. Commitment to Quality The IEHP Team is... ...Flexible Spending Account - Health Care/Childcare...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
Aspire General Insurance Company
Rancho Cucamonga, CA13 days ago $229.2k - $265.39k
...excellence.Commitment to Quality: The IEHP Team is... ...balanceFlexible Spending Account - Health Care/ChildcareCalPERS... ...feasibility, and compliance with organizational and... ...activities, trends, and risks.Foster a high-... ...required to ensure Health Plan operations and department...QualitySeniorRiskHealth InsuranceOngoing contractContract workTemporary workRemote work$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$104.04k - $137.84k
...of a team of regulatory compliance professionals. This... ...Services (CMS), Department Health Care Services (DHCS),... ...agencies, representing the Plan in regulatory... ...enterprise wide compliance, risk mitigation, and readiness... ...inquiries.Commitment to Quality: The IEHP Team is...QualityRiskHealth InsuranceTemporary workWork at officeRemote work$120k - $130k
...experienced Licensed Mental Health Therapist to join our remote... ...proven experience in delivering quality mental health services.... ...systems ensuring privacy and compliance with healthcare regulations.... ...client interactions, treatment plans, and progress notes in accordance...QualitySeniorHealth InsuranceRemote jobFull timeWork at officeFlexible hoursPacific Psychological Services
Rancho Cucamonga, CA6 days ago$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$229.2k - $265.39k
...excellence. Commitment to Quality: The IEHP Team is... ...Flexible Spending Account - Health Care/Childcare CalPERS... ...feasibility, and compliance with organizational and... ...activities, trends, and risks. Foster a high-performing... ...to ensure Health Plan operations and department...QualitySeniorRiskHealth InsuranceOngoing contractContract workTemporary workRemote workFlexible hours$154.13k - $204.21k
...transformation analytics vision with the health plan's overall goals, which... ...to executives.Commitment to Quality: The IEHP Team is committed... ..., including trend analysis, risk assessment, and development... ...in order to foster regulatory compliance.Build strong relationships across...QualityRiskHealth InsuranceTemporary workWork at officeRemote work$80.06k - $106.06k
...Development, the Senior Payment Integrity... ...regulatory and contractual compliance. This role... ...operations. Commitment to Quality: The IEHP Team is... ...Account - Health Care/Childcare CalPERS... ..., and compliance risk. Develop and... ...to ensure Health Plan operations and department...QualitySeniorRiskHealth InsuranceDaily paidTemporary workWork experience placementRemote workFlexible hours$80k - $100k
...Central Gateway Behavioral Health as a Senior Licensed Clinical... ...dedicated to offering high-quality mental health services... ...tailored treatment plans informed by assessment... ...services, conduct risk assessments, and develop... ...meticulous documentation in compliance with ethical standards...QualitySeniorRiskHealth InsuranceRemote jobFull timeWork from homeRelocation packageCentral Gateway Behavioral Health
Rancho Cucamonga, CA6 days ago$71.57k - $93.04k
...regulatory activities for the Compliance Department. Team... ...in this position ensure Plan operations, processes,... ...California Department of Health Care Services (DHCS),... ...(DMHC). Commitment to Quality: The IEHP Team is committed... ...by the Plan. Identify risks, issues, barriers with...QualityRiskHealth InsuranceContract workTemporary workWork at officeRemote workFlexible hours- ...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
- ...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
IEHP
Rancho Cucamonga, CA2 days ago $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- ...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
Epic
Pomona, CA4 days ago $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 workBLEHEALTH, LLC
Pomona, CA19 days ago- ...complex patients | Work from home support high-risk and complex patients through medication reviews... ...management.Document case activities and outcomes in compliance with health-plan and regulatory standards.Participate in quality initiatives aimed at reducing hospitalizations...QualityRiskHealth InsuranceRemote work
Pharmacy Careers
Fontana, CA4 days ago - ...the team is seeking a Business Strategy Senior Manager for Canadian Public Sector. The Business... ...ensuring overall delivery excellence and quality across Salesforce Professional Services... .... Identify and proactively manage risk areas and commit to seeing an issue through...QualitySeniorRiskFull timeRemote work
- ...Job Title: Senior Security Architect Location... ...Client: Ontario Health (BPS Ontario)... ...assessments ensure compliance of product/project... ...and reducing the risk of siloed and redundant... ...in developing plans and deliverables and... ...management and quality standards are adhered...QualitySeniorRiskLive inFlexible hours
Amicis Global
Ontario, CA1 day ago - ...RevolutionBecome a Clean Energy Senior Project Manager at... ...climate and air quality goals. In addition to... ...Directs project initiation, planning, execution, control,... ...applications, compliance and safety documentation... ...relevant areas, lead risks and safety appropriately...QualitySeniorRiskLocal areaRemote workRelocationShift work
- ...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
IEHP
Rancho Cucamonga, CA5 days ago - ..., 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
Trinnex Inc.
Rancho Cucamonga, CA4 days ago $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- ...limited to: Guidance on risk management and... ...the company to maximize quality and cost-effectiveness... ...staff with guidance on compliance with federal and provincial... ...Capable of presenting before senior management Capable of... ...awards, retirement savings plan, and employee stock...QualitySeniorRiskContract workFor contractorsWork at officeLocal areaRemote workWorldwideRelocation packageFlexible hours
GrabJobs
Pomona, CA1 day ago $120k - $130k
...Description Position Overview\n The Senior Licensed Clinical Social... ...Organization\n Memorial Care Health System is a leader in... ...' mental health and treatment plans. \n Craft and implement evidence... ...address the unique needs of high-risk patients, acting as a primary...SeniorRiskHealth InsuranceRemote jobFull timeMemorial Care
Rancho Cucamonga, CA6 days ago- ...Description Job Description The QI (Quality Improvement) Manager role provides... ...Improvement (QI), Performance Improvement (PI), Compliance, Risk Management, Patient Safety, and Care... ..., accreditation standards, and health plan requirements. This position supports clinical...QualityRiskHealth InsuranceWork at officeLocal area
BLEHEALTH, LLC
Pomona, CA7 days ago $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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Compliance Auditor: Health Plan Risk & Quality. Be the first to apply!
Related searches
- remote nurse auditor Rancho Cucamonga, CA
- medical claims auditor Rancho Cucamonga, CA
- senior network engineer remote Rancho Cucamonga, CA
- senior manager legal Rancho Cucamonga, CA
- senior commercial counsel Rancho Cucamonga, CA
- senior manager tax Rancho Cucamonga, CA
- senior construction accountant Rancho Cucamonga, CA
- senior living Rancho Cucamonga, CA
- senior implementation project manager Rancho Cucamonga, CA
- senior level Rancho Cucamonga, CA