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- ...outside of NCAL.Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding validation, documentation review, and data-driven analysis to ensure accurate risk capture,...SuggestedWork experience placement
- ...Risk Adjustment Compliance Coding Specialist (Consultant) The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage...SuggestedWork at office2 days per week
$46.75 - $56.83 per hour
...local government entity in Newark, California is seeking a Community Preservation Specialist to enforce city codes, educate the public, and investigate compliance issues. Candidates should possess strong skills in conflict management and communication, with a preferred...SuggestedHourly payLocal areaCity of Newark, California
Newark, CA3 days ago- ...seeking a leader in Health Information Management to oversee all outpatient coding operations. The role requires extensive experience in coding and healthcare operations, with an emphasis on compliance and quality assurance. Responsibilities include managing coding staff,...Suggested
- ...and certifications in various inspection disciplines, ensuring compliance with construction standards and regulations. This role requires... ...concrete structures to verify adherence to construction drawings and codes. Review and approve reinforcing steel placement, formwork, and...SuggestedContract workLocal area
$77k - $115k
Job Title: Regulatory Compliance Specialist Organization: The Surplus Line Association of California (SLA) Location: San Ramon, CA Position... ..., and communicate requirements under the California Insurance Code and California Code of Regulations related to surplus line...SuggestedFull timeWork at officeLocal areaFlexible hours- Interwest Consulting Group seeks a Building Plans Examiner to perform comprehensive plan reviews for code compliance under California Title 24 across residential, commercial, and industrial projects. The role requires at least five years of experience and deep knowledge...Suggested
- ...knowledge of MS DRG inpatient, ASC, home health care, DME, and related coding and pricing rules. You will adjudicate claims on Epic Tapestry,... ..., and respond to complex disputes while maintaining high productivity and compliance with CMS and DMHC guidelines. #J-18808-Ljbffr JobfuSuggested
$28 - $32 per hour
...Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Working knowledge of CPT, Revenue codes, PDGM Home Health, ICD-10 codes, Red Book, MS DRGs, HCPC codes, and ASC groupings. Three years’ experience in claims-payment...SuggestedHourly pay- Job Description:Job Title: Compliance and Operational Risk Specialist Corporate Title: Vice PresidentLocation: Paris or DublinCompany Overview... ...and an ownership mind-set are the cornerstones of our Code of Conduct and are at the heart of managing risk well.We are an...SuggestedFull timeLocal area
- Job Description:Job Title: Compliance and Operational Risk SpecialistCorporate Title: Up to Vice PresidentLocation: London or DublinCompany... ...and an ownership mind-set are the cornerstones of our Code of Conduct and are at the heart of managing risk well.We are an...SuggestedFull time
- ...legal and regulatory research involving the California Insurance Code, California Code of Regulations, regulatory bulletins,... ...written responses to member questions regarding regulatory and compliance requirements. Draft, edit, and maintain compliance guidelines,...SuggestedWork at office
$100k - $127k
...Management module to enhance operational efficiencies and ensure compliance with regulatory requirements. The position reports to the... ...to improve auto‑approval rates in Tapestry. Maintain procedure codes and code levels, collaborating with Business and IT teams. Analyze...SuggestedFixed term contractWork at office$27 per hour
...than 1 million policy transactions, equip insurance brokers with compliance tools and continuing education courses, monitor the financial... ...fees, and accurately record the coverage and industrial operation codes to report to the CDI. Responsibilities: Compare source...SuggestedFull timeWork experience placementLocal areaFlexible hoursThe Surplus Line Association of California
San Ramon, CAa month ago- ...Manager is the expectation that the HR Manager operates with a legal‑compliance mindset equivalent to an in‑house employment paralegal drafting... ...ADEA, and applicable state law (e.g., California FEHA, Gov. Code § 12940 et seq.). Prepare investigation summaries that include:...SuggestedWork at officeLocal areaImmediate start
Soteria Solutions
San Ramon, CA3 days ago $100k - $127k
...Management module to enhance operational efficiencies and ensure compliance with regulatory requirements. This role will report to Manager,... ...in Tapestry, in collaboration with Business and IT Teams. Codes maintenance: Own procedure codes and code levels maintenance, in...Fixed term contract$70.8k - $72.8k
...significant career advancement opportunities, competitive compensation, benefits, and incentive programs. W e are currently seeking a Compliance Manager! The Compliance Manager is responsible for ensuring compliance in Low-Income Housing HUD/Tax Credit rules and regulations...Full timeTemporary workPart timeLocal area- ...II to examine dwellings and commercial buildings for conformity to the Alameda County Building, Electrical, Plumbing, and Mechanical Codes, the Zoning Ordinance, the California Energy Conservation Regulations, Green Buildings, and Disabled Access. The role covers...
$27.75 - $32 per hour
...Affordable Housing Compliance Specialist SHELTER, Inc. Concord, California, United States About this position SHELTER, Inc. rebuilds lives... ...federal, state, and local occupancy regulations, housing codes, and lease requirements. Under the supervision of the Director...Full timeWork at officeLocal areaRemote workSHELTER Inc
Concord, CA12 hours ago- The Surplus Line Association of California (SLA) is seeking a Regulatory Compliance Specialist to support members, enhance compliance resources, and advance understanding of California surplus line insurance requirements. This role suits someone who enjoys regulatory research...
- ...position serves as a central resource for contract administration, legal matter tracking, risk management coordination, regulatory compliance support, and legal operations. The Legal Affairs Coordinator works closely with University leadership, outside counsel, insurance...Full timeContract workCasual workWork at officeLocal areaRemote workRelocation packageMonday to Friday
California Institute of Integral Studies
Danville, CA19 hours ago - ...monitoring, and business insights that drive operational excellence, compliance readiness, and program effectiveness. Analyze trends, identify... ...and develop recommendations to improve risk capture accuracy, coding integrity, and regulatory compliance. Partner with operational,...
- Serve as the program manager for Kyverna’s enterprise compliance buildout and commercialization-readiness initiatives, coordinating cross... ...Kickback Statute, False Claims Act, Sunshine Act/Open Payments, PhRMA Code, HIPAA, and other applicable regulatory requirements. Proven...Work at office
- Job Description:Job Title: Country Compliance & Operational Risk ManagerCorporate Title: Up to Vice PresidentLocation: DublinCompany Overview... ...and an ownership mind-set are the cornerstones of our Code of Conduct and are at the heart of managing risk well.We are an...Full timeWork at officeLocal areaFlexible hours
$23.5 - $25.5 per hour
...operations to achieve customer satisfaction, quality service and compliance with corporate/franchise policies and procedures while meeting/... .... Make appropriate selection of rooms based on guest needs. Code electronic keys. Nonverbally confirm the room number and rate....Hourly payTemporary workLocal areaImmediate startHEI Hotels and Resorts
San Ramon, CA3 days ago- United Contractors (UCON) is looking for an experienced Labor Compliance professional to assist our contractor members with labor compliance as it relates to their Collective Bargaining Agreements (CBAs), Project Labor Agreements (PLAs) and general public works standards...Contract workFor contractorsWork experience placement
$84k - $105k
Clinical Affairs Associate Manager The Clinical Affairs Associate Manager will partner closely with Product Development and R&D to assist with designing and implementing comprehensive testing plans to validate new ingredients/technologies during early development all...Work at officeFlexible hoursRodan + Fields
San Ramon, CA12 hours ago- United Contractors is seeking a Labor Compliance Manager to lead contract administration of 20+ CBAs, advise on public works compliance, and support negotiations logistics for our contractor members in California. You will interpret CBA terms, maintain accurate records...Contract workFor contractors
- ...time operational model, ensuring clinical excellence, regulatory compliance, and continuous performance improvement. Participates in the... ...plans when appropriate. Adheres to DNWest’s policies, code of conduct, and leads by example. EDUCATION AND EXPERIENCE...Work experience placementWeekend workAfternoon shift
Donor Network West
San Ramon, CAmore than 2 months ago $101.2k - $126.5k
...Representative (DR) to oversee regulatory licensing and ensure full compliance with federal and state requirements, including California Board... ...program compliant with California Business and Professions Code §4053 within 60 days of onboarding.Meet all DR requirements and...Full timeWork experience placementLocal area
