Hybrid Health Plan Auditor—Compliance & Program Integrity
NACBA
NACBA is seeking a Health Plan Oversight Auditor to support the San Francisco Health Plan's Compliance Program. You will conduct internal audits, ensuring regulatory compliance, and support fraud investigations. The role requires a Bachelor's degree and a minimum of three years in healthcare operations or auditing. This hybrid position offers competitive compensation, excellent health benefits, retirement plans, and ample paid time off. Located in San Francisco, this role emphasizes collaboration while helping to maintain program integrity. #J-18808-Ljbffr NACBA
$90k - $100k
...full-time development program to transition into accredited... ...management systems for compliance with applicable ISO... ...independent thirdparty auditor status Your... ...systems ~ Occupational health and safety management... ...employees, including a 401(k) plan with employer match, up...Health InsurancePermanent employmentFull timeContract workFreelanceLocal area$78.88k - $91.64k
Reporting to Director, Compliance & Oversight, the Health Plan Oversight Auditor supports San Francisco... ...Plan's (SFHP) Compliance Program by performing assigned... ...compliance and program integrity requirements. Please note... ...while SFHP supports a hybrid work environment, you...Health InsuranceWork at officeRemote work- ...consultancy firm is seeking a Compliance Technical Project Manager in San... .... The role involves driving program execution and ensuring stakeholder... .... The company offers a hybrid work model and competitive benefits, including robust health coverage and generous PTO. #J-...Health Insurance
$153k - $221k
...high-quality SOX program while helping create... ...Figma's IT SOX compliance program and, in partnership... ...with external auditors and co-sourced... ...operational audit plan and implement audits... ...operational or integrated audits, including... ...benefits, including health, dental & vision,...SuggestedFull timeRemote workWork from home$80.75k - $95k
...teams to provide tax compliance services to our high‑net... ...practices and data integrity Work with tax staff to... ...accounting Obtained or plan to obtain CPA or EA, a... .... Our benefit programs are focused on meeting... ...their eligible dependents health and welfare needs. We...Health InsuranceTemporary workWork at officeLocal areaHome officeMonday to Friday$165k - $220k
...Program Operations & Integration Team Lead San Francisco Astranis builds advanced satellites for high... ..., configuration discipline, and planning clarity as we scale spacecraft design... ...standards of the team. We operate in a hybrid environment: commercial spacecraft...Health InsurancePermanent employmentFlexible hoursShift work$128.4k - $160.5k
Planet Labs PBC is seeking a full-time Technical Program Manager in San Francisco. This hybrid position involves supporting cross-functional initiatives... ...in aerospace. Benefits include comprehensive health plans, paid parental leave, and tuition reimbursement. Salary...Health InsuranceFull time$95.74k - $153.18k
...is seeking a strategic manager for its global travel program, based in California, San Francisco. This role involves... ...8 to $153,180, plus comprehensive benefits including health plans and paid parental leave. A hybrid work model is offered. #J-18808-Ljbffr Out in Science...Health Insurance- ...Jobline ZR is looking for a qualified NCQA Program Manager to oversee the management and... ...accreditation activities at San Francisco Health Plan (SFHP). This role requires extensive... ...relevant experience. The position supports a hybrid work model but requires in-office...Health InsuranceWork at office
$132.7k - $206.8k
...Partner Operations Program Manager is the... ...workflows, ensuring compliance with Legal and Finance... ...with R&D teams Integrate custom LLM... ...Job Designation Hybrid: Employee divides... ...for a company bonus plan, which is calculated... ...placement Full Health Benefits Plans: options...Health InsuranceContract workWork at officeLocal areaRemote work2 days per week$53.32k
...and vendor referrals. Interpret plan language, and identify... ...with internal auditing of claims auditors, and training of claims auditors... ...employment. ~ Subsidized health plans, dental and vision coverage... ...maintains affirmative action programs to promote employment...Health InsuranceFull timeContract workFor contractorsWork experience placementLocal areaRemote workMonday to Friday- A managed care health plan in San Francisco is looking for a Health Plan Oversight Auditor to support their Compliance Program. The successful candidate will perform audits, prepare reports... ...or compliance are required. This hybrid position requires in-office attendance...Health InsuranceWork at office
$86 - $91 per hour
Program Manager Summary Our company is seeking a highly motivated... ...fostering an environment of compliance, risk mitigation, and financial... ...Program Management: Lead the planning and execution of complex,... ...fostering a culture of compliance, integrity, and transparency. Pay and...Health InsuranceHourly pay- A managed care health plan in San Francisco is seeking a Health Plan Oversight Auditor to support its Compliance Program. In this hybrid role, you will perform audits, analyze compliance documentation, and collaborate with internal teams to identify control gaps. The ideal...Health Insurance
- ...Superhuman offers a dynamic hybrid working model for this... ...wherever people work, integrating with over 1 million... ...We're seeking a Legal Program Manager to drive... ...Employment, and Corporate & Compliance. This role serves... ...: ~ Excellent health care (including a wide...WorldwideHome officeFlexible hours
$87.95k - $122.16k
...currently seeking a API LLM Integration / ReactJS Engineer - Hybrid to join our team in Santa... ...AI initiatives follow compliance and regulatory requirements... ..., flexible spending or health savings account, life and... ...participation in a 401k program with company match, and additional...Health InsuranceFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours$183k - $223.2k
...Manager, Marketplace Integrity & Growth San... ...Full Time Job Type: Hybrid Salary Type:... ...risks such as fraud, compliance and suboptimal performance... ...product plans, tradeoffs, and results... ...company sponsored health plan, dental and... ...sales incentive bonus program, participation in...Health InsuranceFull timeTemporary workImmediate start$99k - $232k
...variety of stakeholders. They evaluate compliance with regulations including assessing governance... ...our Firm. You are expected to lead with integrity and authenticity, articulating our... ...of projects, ensuring their successful planning, budgeting, execution, and completion....$99k - $232k
...variety of stakeholders. They evaluate compliance with regulations including assessing governance... ...our Firm. You are expected to lead with integrity and authenticity, articulating our... ...of projects, ensuring their successful planning, budgeting, execution, and completion....H1bRemote work$150k - $210k
...Northern California, USA. Senior Technical Project Manager - Program Operations & Integration As the Technical Project Manager for program... ...specifically focusing on linkages to schedules and program plans and tie in to financial tools Manage execution of special...Health InsurancePermanent employmentFlexible hours$90k - $105k
...Affairs, the NCQA Program Manager is an experienced... ...and analysis of plan performance... ...high standards of integrity. Additionally, you... ...while SFHP supports a hybrid work environment,... ...to ensure compliance through department... ...experience 3-5 years of health care-related experience...Health InsuranceWork experience placementWork at officeFlexible hours- ...and collaborating with the accounting team on new technology integration. Ideal candidates should have a solid background in SQL Server... ...to provide leadership and mentorship in a fast-paced environment with a hybrid work option available. #J-18808-Ljbffr McguirewoodsRemote job
$70.7k - $123.8k
Twitch is seeking a Program Manager for the Culture & People Development team based in San... ...creating engaging learning experiences across hybrid and in-person formats. Candidates should... ...with comprehensive benefits including health insurance and 401(k) matching. #J-18808-...Health Insurance$175k - $185k
...Deputy Chief Program Officer, Housing Services... ...services, and health care sectors. In... ...with Managed Care Plans and County Behavioral... ..., and contractual compliance across Flex Pool,... ...confidence and integrity with an eye towards... ...Development Wellness Resources Hybrid Work...Health InsurancePermanent employmentContract workTemporary workFor subcontractorWork at officeFlexible hours- ...alignment with applicable compliance, legal, and... .... Understand, integrate and effectively communicate... ..., medical, and health economic... ...external speaker programs. Participate in national... ...offers a Total Rewards Plan, comprising of... ...remote and hybrid work arrangements,...Health InsuranceWork at officeRemote workFlexible hours
$80.75k - $95k
...financial lives by integrating financial planning, investment management... ...to provide tax compliance services to our high... ...over 10 lbs. #LI-Hybrid Actual base pay within... ...incentive compensation programs. Base Pay Range... ...eligible dependents health and welfare needs....Health InsuranceTemporary workWork at officeLocal areaHome officeMonday to FridayFlexible hours- A leading health technology company in San Francisco is seeking a Senior Business Operations Program Manager. In this hybrid role, you'll drive the execution of corporate planning, manage cross-functional teams, and support key strategic initiatives. The ideal candidate...Health Insurance
- San Francisco Health Plan seeks a Clinical Quality and Oversight Nurse to ensure compliance with utilization management activities and oversee audits. This hybrid role requires an active California LVN license with at least 2 years of utilization management, audit, and...Health Insurance
- Twitch Interactive, Inc. - D48 is seeking a Program Manager based in San Francisco to contribute to the Culture & People Development team... ...impactful learning experiences focusing on AI and manage a hybrid portfolio of culture programs. The ideal candidate will have over...Health InsuranceFlexible hours
$93.6k - $220.4k
Responsibilities The Global Integrity Programs (GIP) team is a central pillar of Trust & Safety,... ...into clear risk narratives and mitigation plans that reduce regrettable escalations... ...Define, track, and communicate program health through metrics and dashboards, partnering...Health InsuranceTemporary workLocal area
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