Healthcare Compliance Investigator & Risk Specialist
$95k - $125kUniversity of California - Los Angeles Health
The University of California - Los Angeles Health seeks a Compliance Analyst to support its compliance program. This role involves conducting compliance investigations, preparing reports, and advising on regulatory matters. Qualifications include a Bachelor's degree, CHC certification, and a minimum of three years in healthcare compliance. The anticipated salary range is between $95,000 and $125,000 depending on experience. #J-18808-Ljbffr University of California - Los Angeles Health
$86.4k - $184.8k
Direct Jobs is seeking a Compliance Analyst in Los Angeles, California. This role supports... .... Responsibilities include conducting investigations, supporting compliance reviews, and... ...experience in compliance activities within healthcare settings. The salary range for this...Suggested$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive investigative...Suggested- UCLA Health is searching for a Senior Compliance Investigator to lead investigations focusing on integrity and regulatory compliance within healthcare. You will analyze evidence, conduct interviews, and prepare comprehensive reports while collaborating with stakeholders...Suggested
$115k - $165k
...University of California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential... ...experience, strong analytical skills, and knowledge of healthcare regulations. Responsibilities include gathering and analyzing...Suggested- Job Description We’re looking for a Clinical Healthcare Fraud Investigator to support a high volume of claims for a leading healthcare client. This... ...billing fraud) Experience working within regulatory and compliance frameworks (CMS, Medi-Cal/Medicare) Proficiency in Excel...Suggested
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...qualifications: - Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. -...Full timeWork experience placementWork at officeLocal area
- Senior Healthcare Claims Investigator We\'re looking for a Senior Healthcare Claims Investigator to support a high volume of claims for a leading... ...partnering with legal teams and external agencies to ensure compliance with regulatory requirements. You\'ll also analyze trends...
- ...client is a nationally recognized academic healthcare and research enterprise committed to... ...operational excellence. The Office of Integrated Risk Management partners across the... ...healthcare, patient safety, quality improvement, compliance, risk management, or related...Work at officeMonday to Friday
$95k - $125k
UCLA Outpatient Clinics is seeking a Compliance Analyst to support their comprehensive compliance program. You will conduct and support compliance investigations, review documents to identify risks, and provide guidance on regulatory matters. This role includes preparing...$135k - $150k
Bring your expertise to JPMorganChase. As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient... ...be best in class. As a Credit Risk Senior Associate in healthcare leveraged finance, you will manage and monitor a...- Insight Global is looking for a skilled individual to detect and investigate healthcare fraud. Duties include evaluating leads, ensuring compliance with reporting deadlines, and supporting investigators through data analysis. The ideal candidate will have at least 4 years...
$70k - $90k
...focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Governance, Risk and Compliance Analyst , you will be joining a dedicated team of professionals who deliver quality, value,...Work experience placementImmediate startFlexible hours- A community-focused healthcare organization in California is seeking a Senior Analyst for IT Governance, Risk & Compliance. This role involves managing the Information Security GRC program, ensuring compliance with various regulations including HIPAA and PCI. Candidates...
- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This role involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators...
- Adventist Health in Glendale, California, seeks a dedicated Risk Management professional who will perform key responsibilities supporting departmental goals. The role includes reviewing new claims, triaging grievances, and providing administrative support to the Risk Management...
$89.83k - $170.21k
...make an impact: Analyzes and implements risk contracts including conducting... ...training of actuarial trainees, analysts and specialists. Coordinates/directs special actuarial... ...improving lives and communities – and making healthcare simpler. We are a Fortune 25 company...Temporary workTraineeshipWork experience placementWork at officeLocal area2 days per week1 day per week- A leading healthcare institution in Los Angeles seeks a Clinical Investigator specializing in pediatric hematology-oncology. Ideal candidates will have a Medical Degree, board certification or eligibility, and an aptitude for teaching and mentorship in a collaborative environment...
- ...review complex analyses and cost projections using Excel, SAS, and other software, with potential specialization in certain areas of healthcare-related insurance. Draft and review client reports or presentations to summarize findings and recommend strategies or...Work at office3 days per week
$73.5k - $147k
...skills and creative problem‑solving abilities What makes you stand out: Work experience in actuarial consulting, especially within healthcare One or two exams away from earning ASA designation Demonstrated ability to independently manage multiple complex projects...Minimum wageWork experience placementWork at officeFlexible hours$93.5k - $145k
...other software, with potential specialization in certain areas of healthcare-related insurance. Draft and review client reports or... ...Mercer is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$77k - $202k
...Time Type: Full time Travel Requirements: Up to 60% As a PwC Healthcare Consulting Actuary, you will be part of our exciting, growing... ..., health plan financial reporting, data analysis, and risk adjustment; Helping companies define and evaluate corporate...Full timeH1b- Job Description This job involves detecting and investigating healthcare fraud. The individual receives tips about potential fraudulent activity... ...are responsible for timely regulatory reporting, ensuring compliance with government deadlines, and using data analysis and...
- A large healthcare provider in Los Angeles is seeking an experienced Actuary III to lead actuarial analyses and ensure financial accuracy across all business lines. The ideal candidate will have at least 7 years in a health insurance actuarial role and advanced modeling...Full timeContract work
- ...Personal Risk Specialist The Personal Risk Specialist is an outside sales position focused on serving the unique insurance needs of affluent/high net worth clients. In addition to cross-selling, as a primary focus for business development, this role is also expected...Temporary workWork at officeLocal areaFlexible hoursAfternoon shift
$70k - $85k
Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to work remotely. The position involves reviewing provider documentation, performing coding audits, and educating providers on coding requirements. Applicants should have 3-5 years of experience in risk...Remote job- Affirm is seeking an analytical professional in Los Angeles to optimize credit strategies across products while collaborating closely with various teams. The ideal candidate has a strong educational background in data science or a related field, with at least 2 years of...Remote job
$90k - $100k
LHH is seeking a Conflicts Analyst based in Downtown Los Angeles (DTLA) to join its Risk and Conflicts team. The role is pivotal in ensuring ethical compliance and proper client intake by analyzing conflicts of interest related to new matters and lateral hires. The ideal...Full time$70k - $85k
Astrana Health is seeking a Risk Adjustment Coding Specialist to support IPAs nationwide. This role involves conducting chart reviews, identifying coding gaps, and educating providers. A successful candidate will have 3-5 years of risk adjustment experience and be certified...Remote jobFull time$70k - $85k
Astrana Health Management is looking for a Risk Adjustment Coding Specialist II to provide support for our IPAs nationwide. This remote position focuses... ...identifying coding gaps and educating providers about compliance with Medicare documentation. Candidates should have 3-5...Remote job$95.4k - $120k
...Angeles is looking for a Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment. You will work closely with providers to... ...00 and $120,000 annually, providing a rewarding career in the healthcare sector. #J-18808-Ljbffr UCLA Outpatient Clinics
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