- Evolent (Sacramento, CA)
- …Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + ... team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment...Risk Adjustment and all HCC models to ensure compliance with attention to detail to ensure accuracy in… more
- Grant Thornton (San Francisco, CA)
- …profit improvement, cost reduction, fraud prevention, internal control, and compliance . + Perform engagement management responsibilities, including project ... As a Process Risk Manager, you will have the opportunity to...+ Review operational, financial, and technology processes to provide management with a comprehensive assessment of business risks, internal… more
- Ankura (Los Angeles, CA)
- …Care team is a recognized leader in health care disputes, compliance , and investigations. We combine unparalleled clinical, technical, and operational expertise ... by providers, payers, and CMS. We combine in-depth operational, compliance , and clinical industry knowledge with exceptional data analytics, information-gathering,… more
- WTW (Los Angeles, CA)
- …+ Support strategic planning and consulting advice to clients; monitors insurance and risk management needs in collaboration with WTW resource, practice, and ... clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are...between May 2025 - May 2026 + Preferred Majors: Risk Management , Business, Finance, Economics, Accounting, Liberal… more
- Oura (San Francisco, CA)
- …role will be responsible for advising on regulatory risk , marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy ... devices and consumer health products. + Provide legal guidance on supply chain risk management , including restricted party screening, export controls (EAR &… more
- Gilead Sciences, Inc. (Foster City, CA)
- …industry codes of conduct (eg, PhRMA, AdvaMed). + Strong understanding of compliance risk areas, including promotional practices, HCP interactions, and ... programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead the… more
- Cardinal Health (Sacramento, CA)
- **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to ... compliance . This function implements strategies and processes to ensure...of audit results to physicians, physician leadership, senior leadership, management , and staff; physician and coder education; and the… more
- Humana (Sacramento, CA)
- …PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare ... policies and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action… more
- The Clorox Company (Oakland, CA)
- …ventures, including majority and minority owned joint ventures, as well as third-party risk management and diligence work streams. + Support employee training ... schedule interviews, and draft initial responses to agency employment claims . + Lead and manage responding to requests for...state and local employment law developments. + Provide project management for Clorox's compliance and labor and… more
- Sedgwick (Sacramento, CA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE ROLE:** To perform provider outreach,… more