Healthcare Compliance & Audit Specialist - Managed Care
Cedars-Sinai Medical Center
A healthcare organization is seeking a Managed Care Compliance Specialist in California. The role involves ensuring compliance with regulations, maintaining auditing functions, and providing mentorship. Candidates should have a high school diploma with a preference for a bachelor's degree, along with five years of compliance experience in healthcare. Strong regulatory knowledge and data analysis skills are vital for success. This position offers opportunities to impact compliance initiatives significantly. #J-18808-Ljbffr Cedars-Sinai
- A leading healthcare provider in California is seeking a Managed Care Compliance Specialist to oversee compliance with healthcare regulations and audit programs. The ideal candidate will have strong analytical and regulatory skills along with at least five years of compliance...Suggested
- Job Description The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program within the Managed Care department... .../GED required. Bachelor's degree in Healthcare or related field preferred....SuggestedContract work
- Academy of Managed Care Pharmacy is looking for a Managed Care Compliance Specialist in California, MO. This role involves ensuring compliance with healthcare regulations and overseeing auditing processes. Candidates should have five years of compliance experience in a...Suggested
$100k - $200k
Abbott is a global healthcare leader that helps people... ...matters, grow, and learn, care for yourself and... ...people with diabetes manage their health more effectively... ...Regulatory Operations Specialist** will work on-site at... ...against external compliance dates.* Assist in SOP...SuggestedWorldwide$29.44 - $43.79 per hour
A leading healthcare provider in California seeks a Trauma Registrar to manage the Trauma Registry activities. The role involves data collection, ensuring accuracy, and... ..., reflecting the commitment to quality patient care and community well-being. #J-18808-Ljbffr Dignity...SuggestedHourly pay$240k - $300k
...health medical group committed to integrating the Collaborative Care model into existing health care practices to improve patients’ lives... ...team—primary care provider, patient, and Behavioral Health Care Manager—through Structured Case Review (SCR) on an assigned caseload of...Hourly payFull timeLocal areaRemote workMonday to FridayFlexible hours- A leading hospitality company in California is seeking a candidate to manage end-of-day activities and assist guests as necessary. Responsibilities include processing payments, managing check-ins, and maintaining high customer service standards. The ideal candidate should...Night shift
- Opendoorhealth is seeking a Contract Administrator to manage the entire contract workflow, ensuring compliance with legal standards and business objectives. The... ...years of experience in legal administration or healthcare contracting. Compensation ranges from $81,153.60 to...Remote jobContract work
- ...testing and point-of-care medical device... ...critical questions in healthcare. Job Type: Full... ...Regulatory Affairs Manager Location: Onsite -... ..., ensuring compliance with FDA, ISO 1348... ...internal and external audits, inspections, and... ...to junior staff or specialists on assigned projects...Full timeWork at officeFlexible hours
$165k - $220k
A healthcare organization located in California is seeking a Documentation Integrity Manager to ensure comprehensive and compliant documentation integrity programs related to risk... ...of experience, particularly in Managed Care, and will be responsible for developing provider...$120k - $140k
...TigerConnect transforms healthcare with the industry’s... ...way doctors, nurses, care teams, patients, and data... ...automation, alarm management and event notifications... ...Governance, Risk, and Compliance Manager is responsible... ...environments. Coordinate annual audits, evidence collection,...Work experience placementPrivate practiceWork at officeRemote workFlexible hours$60k - $80k
...years, and has earned a strong reputation in healthcare. Our dedication to delivering the highest... .... Position Description As an Account Manager or Account Manager Associate in... ...physical), exercising the right to family care and medical leave, gender, gender expression...Live inLocal areaRelocation- ...involves ensuring program operations comply with hospital policies and standards. Successful candidates will have knowledge in health care, rehabilitation, and psychiatric care and must demonstrate problem-solving abilities and effective communication skills. The...
- Overview The Premium Audit Specialist is responsible for conducting both... ...larger accounts and involves managing the most complex and high-profile... ...audit disputes, ensuring compliance and coordinating with... ...spouses & children, Health Care Flexible Spending, Dependent...Work at officeFlexible hoursNight shift
$30 - $35 per hour
Healthcare Account Manager at Insight Global The Facilities/Property Manager is responsible for interpreting... ...accurate lease data management, compliance with regulatory requirements, and... ...Management Industries Hospitals and Health Care Referrals increase your chances of...Contract work- ...through applications carefully and respectfully. SERVICE... ...the Claims Operations Manager leading the Claims... ...activities, including audits, root‑cause analysis, quality reporting, compliance coordination, and governance... ...s degree in Business, Healthcare Administration, Public...Full timeLive inWork at officeLocal areaRemote work
$110k - $120k
...First Empower Entrepreneurial Provider and Care Teams Operate with Integrity and... ...ensures financial records are maintained in compliance with accepted policies and procedures... ...procedures and tasks as requested from upper management Qualifications Bachelor’s Degree in...Work at office- ...through applications carefully and respectfully. SERVICE... ...: Provide strategic management oversight in... ...risk management, and compliance, we ensure the Alliance... ...strategic planning, and healthcare operations... ...professional services, and specialist services Develop, plan...Full timeContract workTemporary workPart timeLive inWork at officeLocal areaRemote work
$106k - $183k
...Join Baker Tilly as an experienced Tax Manager with our Healthcare team based out of NorCal. This is a... ...and business advisory services and tax compliance to small business clients. You will... ..., teammates and leadership who truly care about you and your development. You’ll...Local areaWorldwide- A healthcare organization in California seeks a Director of Patient Safety & Risk Management, responsible for strategic oversight of Patient Safety and Risk Management programs... ...organizational goals for safety and compliance, contributing to overall patient and community...
$147.7k - $236.33k
Director, Patient Safety & Risk Management Requisition ID 29922 Employment Status Full time... ...California Clinical License (RN, PharmD, or Healthcare related field) Certificate Professional... ...management required Previous clinical care experience required Knowledge and Skills...Full timeShift work$87.05k - $115.27k
...community. As a member of the Prime Healthcare Foundation, Sherman Oaks... ...3‑bed, not‑for‑profit, acute‑care community hospital located in... ...Director of Quality and Risk Management is a Registered Nurse (RN)... ...improvement. The Director will ensure compliance with all regulatory...Daily paidFull timeTemporary workPart timeLocal areaShift work$84.36k - $93.24k
...government, commercial, transportation, critical facilities, healthcare and transportation. Ranked #1 in aviation and #6 overall general... ...civil or structural engineering, architecture or construction management, or 9 years of equivalent experience without a degree....For contractorsWork at officeLocal area- ...could include Division Claims Manager Athens Position Details Position... ...Program Business, and Managed Care. Embrace a change and come... ..., attend key meetings, ensure compliance with client instructions, and... ...concise and well‑written Obtain audit results meets or exceeds best...Remote jobTraineeshipWork at officeImmediate startMonday to FridayFlexible hoursNight shift1 day per week
- ...Sands. Job Responsibilities • Management and direction of assigned... ...ensure completion of complex audits within departmental and professional... ...completion of regulatory compliance and operational audits within... ...business ethics of the Company. Be careful - Don’t provide your bank or...
- A reputable audit firm is seeking an Internal Audit professional in California. This position focuses on assisting with Sarbanes-Oxley compliance, managing internal controls, and will require collaboration across various teams. Ideal candidates should hold a Bachelor’s...
- Your Role The Internal Audit Services team performs internal audits and advisory services... .... In this role, you will be leading and managing financial, operational, and integrated... ...data analysis techniques preferred. Healthcare and pharmacy audit experience preferred....Full timePart timeWork at officeLocal areaWork from homeHome office
$102k - $115k
A healthcare organization is seeking a Manager - Risk Adjustment to lead risk adjustment initiatives, ensuring accurate documentation and compliance within the healthcare framework. You will oversee operations, coordinate with medical providers, and manage incentive programs...Remote job- A leading manufacturer of food products in L.A County is seeking a Regulatory Compliance Specialist to ensure compliance with food regulations, manage supplier documentation, and collaborate with internal teams. This full-time role requires a Bachelor's degree in Food...Full timeWork at office
$20 - $25 per hour
ArborWorks Inc. is seeking a Safety Administrator Assistant in California to manage safety programs and compliance initiatives. The role involves partnering with operations to ensure adherence to safety regulations and improving safety processes. The ideal candidate will...Hourly payFull time
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