Health Plan Implementation Auditor
Western Growers Health
Western Growers Health is seeking an experienced professional to perform in-depth plan coding and testing for health (medical/dental) insurance plans. The role ensures compliance with employer plan descriptions and coordinates with WGAT/PCMI in production readiness. The candidate will test plans, develop SOPs, and maintain HIPAA-compliant practices while supporting ongoing process improvements and data security. #J-18808-Ljbffr
$28.85 - $31.35 per hour
...a meticulous,detail-oriented Compliance Auditor to join ourCompliance Team. The Compliance... ...compliance concerns and guide the implementation of corrective actions. Maintain a comprehensive... ...Improvement. Comprehensive Benefits - health, dental & vision, 401(k), personal time...ImplementationWork at officeLocal areaFlexible hours$110.5k - $149.5k
...confirms that Hyundai's privacy controls are implemented and operating as intended. Under the... ...attorneys, the Privacy Operations Auditor plans and performs privacy control testing, validates... ...- and long-term disability Mental health, wellbeing, and employee assistance...ImplementationHealth InsuranceTemporary workLocal area$110k
...Internal/Senior Auditor Job no: 562664 Work type: Management (MPP) Location: Chancellor's Office Categories: MPP, Administrative... ...benefit package that includes outstanding vacation, health, and dental plans; a fee waiver education program; membership in the California...Health InsuranceFull timeWork at officeRemote work2 days per week- ...Clinical Rehabilitation Supervisor, Care at HomeSupervises the planning, development, implementation/delivery and evaluation/improvement of rehabilitation... .../services provided within the Care at Home, home health, palliative, hospice service lines and contracted providers...ImplementationHealth InsuranceLocal area
$87k - $105k
...Position Overview\n Protocall Behavioral Health Services Inc. is actively seeking a... ..., pediatrics, general medicine, family planning, and dentistry. We strive to address a... ...required. \n Develop and assist in the implementation of relapse prevention plans for...ImplementationHealth InsuranceFull timeImmediate startRemote workRelocation package- ...adoption across the portfolio. Customer Health Infrastructure: Owns the global health... ...CS operating model - covering success planning, health reviews, risk management, and... ...to ensure strong handovers from implementation, with clear definitions of a \"successful...ImplementationHealth InsuranceWork from home
- ...you do with our team will directly improve health outcomes by connecting people with the... ...Complete pre-audit work including travel planning, materials gathering and desk audit activities... ...:Bachelor's DegreeCertified Quality Auditor (CQA)Intermediate level of knowledge with...Health InsuranceWork at officeLocal areaRemote work
- ...Description Operations & Compliance Auditor Healthcare is increasingly... ...insurance, or an ACA plan that keeps getting pricier. Many... ..., smarter option. WeShare Health is that option. WeShare... ...Support special projects and implementation of safeguards that protect...ImplementationHealth InsuranceHourly pay
$50.32 - $79.45 per hour
...development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance... ...modeling, complex costing scenarios and incentive plans. Performs research, analysis and evaluation of...ImplementationHealth InsuranceMinimum wageWork at officeLocal areaRemote workShift work- ...assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment plan by coordinating access to health services across multiple providers/disciplines, monitors care, makes...ImplementationHealth InsuranceDaily paidContract workWork at office
$50.32 - $79.45 per hour
...development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance... ...modeling, complex costing scenarios and incentive plans. Performs research, analysis and evaluation of...ImplementationHealth InsuranceRemote work$151k - $302.5k
...million people every day by advancing their health, wealth, and careers. We’re in the... ...whether we’re designing affordable health plans, securing finances for retirement or aligning... ..., financial evaluations, procurements, implementations, and ongoing monitoring. Accountable...ImplementationHealth InsuranceMinimum wageLocal areaRemote workFlexible hours3 days per week1 day per week- ...benefits solutions built on the idea that health makes growth possible. As top tier... ...relationship management of assigned health plan and provider accounts, coordinating resources... ...premium and rate goals. Coordinates the implementation of Alliant resources, including Risk IQ,...ImplementationHealth InsuranceWork at officeLocal area
- ...Responsibilities:Assist the Audit Management Team in risk assessment, audit planning, and audit program developmentLead and execute operational... ..., Paid Time Off, Retirement Benefits, and complimentary Health Screenings. Equal Opportunity Employee & Physical DemandsReyes...Health InsuranceRemote work3 days per week
$22 per hour
Parking Lot Auditor - Costa Mesa, CA Location: Multiple hospitality properties in Los Angeles... ...on employment status, scheduled hours, plan eligibility, and the terms of the... ...related medical conditions, reproductive-health decision-making, gender, gender identity,...Health InsuranceHourly payMinimum wageFull timePart timeLocal areaShift workNight shiftWeekend workDay shiftAfternoon shift$111k - $130k
...transactions and support budget planning.Oversee end-to-end payroll... ...documentation for audits and assist auditors in resolving discrepancies.... ...benefits programs, including health insurance, retirement plans,... ...and benefits regulations to implement necessary adjustments.Adhoc...ImplementationHealth InsuranceFor contractorsWork at officeLocal areaWork from home1 day per week$171.6k - $338.3k
...Summary Are you an experienced health and welfare benefits consultant ready to... ...municipal governments on benefits strategy, plan design, financial performance, vendor... ...selection, renewal, negotiation, and implementation for medical, dental, pharmacy, life, and...ImplementationHealth InsuranceLocal areaVisa sponsorship$72.8k - $80k
.... Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective... ...and support corrective action plans, remediation efforts, and continuous improvement... ...assigned. Qualifications Bachelor's degree in Health Information Management, Nursing,...Health InsuranceFull timeWork at officeRemote work$128k - $175k
...allocation and delivery. Recommend and assist implementation of schedule delay mitigation measures as... ...budget on project to meet financial plan. Quality Management: Create, implement... ...throughout the lifecycle of a project. Health & Safety: Lead by example and follow BC...ImplementationHealth InsuranceFull timeContract workTemporary workWork experience placementWork at office$100k - $140k
.... Why join us? ~Competitive Base Salary ~Company paid health plan for employees ~Flexible Hours ~Very generous PTO ~Dental... ...identify opportunities for AI deployment and ensure smooth implementation. 4. Keep abreast of emerging AI trends and technologies,...ImplementationHealth InsurancePermanent employmentLocal areaFlexible hours$112.7k - $193.2k
...those who want to invent the future of health care, here's your opportunity. We're going... ...for the ongoing development, implementation, and facilitation of processes to assure... ...patients is captured and transmitted to health plans. Primary Responsibilities: Strategic...ImplementationHealth InsuranceMinimum wageFull timeWork experience placementLocal area$183.4k - $322.1k
...delivers service strategy engagements for Health Care clients. This role combines... ...service strategies, prioritized initiatives, implementation roadmaps, and supporting business... ..., dependency management, and execution planning to drive delivery with speed and clarityBuild...ImplementationHealth InsuranceLocal areaVisa sponsorship$91.7k - $163.7k
...those who want to invent the future of health care, here's your opportunity. We're going... ...functional teams, the consultant drives implementation of regulatory requirements and process... ...to stakeholders; develop and manage work plans to support compliance objectivesPrepare...ImplementationHealth InsuranceMinimum wageFull timeWork experience placementLocal areaRemote work$185k - $230k
...and edge computing services, helping define and implement next-generation Software-Defined Vehicle (SDV) architectures... ...eligible for the following at Karma: ~ Medical Plan choices include HMO, PPO & HDHP (High-Deductible Health Plan) ~ Health Savings Account & Flexible...ImplementationHealth InsuranceWork at officeRelocation packageFlexible hours$24 - $28 per hour
...how we serve our members.At Liberty Dental Plan, our Internal Audit team plays a critical... ...a detail-driven, analytical Sr. Internal Auditor who brings strong claims or audit... ...Assistance Program (EAP) to support mental health and well-being.Generous vacation and sick...Health InsuranceWork at officeImmediate startRemote workRelocationVisa sponsorshipFlexible hours$83.94k - $120.03k
10390 - Technology Auditor, I ntegrated Risk Management Location: Irvine, CA Company... ...maintain a control testing & validation plan aligned to the organization’s technology... ...confirm control intent, ownership, and implementation details. Validate control...ImplementationFull timeWork experience placementRemote work$90k - $110k
...Sr Internal Auditor, ITBring more to life.Are you ready to accelerate your potential and... ...this role, you will have the opportunity to:Plan, coordinate, and perform testing of IT... ...that add value to our lives. Whether it's a health care program or paid time off, our...Health InsuranceWorldwide- ...SLAs).Monitoring & Alerting: Champion the implementation of proactive monitoring and alerting... ...model to competitive time off and standout health coverage with meaningful perks and... ...a baby stipend.Health: Multiple medical plan options with mental health and wellness...ImplementationHealth InsuranceFull timeLocal areaImmediate startFlexible hours
- ...Financial consulting, business process improvement, or systems implementation experience. Exposure to data visualization, forecasting,... ...and vision benefits as well as the company’s 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description...ImplementationWork at officeLocal area
$90k - $180k
...of.Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.An excellent... ...principles to perform effective root cause analysis and implement effective process improvements in a timely manner to achieve...ImplementationHealth InsuranceLocal areaWorldwideShift work
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