• Senior Quality Analyst, Claims *Remote

    Providence (CA)
    **Description** **Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique ... New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives… more
    Providence (05/09/25)
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  • Residential Mortgage Analyst

    City National Bank (Los Angeles, CA)
    …This role is responsible for managing all investor and agency audit responses, overseeing documentation flow across underwriting and operations, handling lender ... internal stakeholders to gather necessary documentation and ensure timely and accurate audit responses. * Maintain thorough records of audit findings,… more
    City National Bank (05/28/25)
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  • Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …CPhT** **Do you have a CPhT certification?** **Would you like to audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity Solutions ... performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT,...and pharmacy practices. + Responding to pharmacy calls regarding audit results and dealing with clients periodically to report… more
    Conduent (05/25/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
    Highmark Health (05/09/25)
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  • Credit Review Director

    Umpqua Bank (Irvine, CA)
    Credit Review Director Audit and Loan Review Tacoma, Washington Portland, Oregon Lake Oswego, Oregon Irvine, California **Description** **About Us:** At Umpqua, we ... for business. Together for better. **About the Role:** Reporting to the Chief Audit Executive and the applicable Board committee, the Credit Review Director oversees… more
    Umpqua Bank (06/11/25)
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  • Executive Director, Quality Systems & Compliance

    Merck (Sacramento, CA)
    …+ Oversee quality systems pertaining to health authority inspections, inspection and audit CAPA, site internal audit programs, and GMP-related regulatory ... (FARs), Biological Deviation Reports (BPDRs), Defective Product Reports (DPRs)) + Support audit program by identifying audit targets and help develop protocols… more
    Merck (06/10/25)
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  • Operational Risk Business Oversight Program…

    City National Bank (Los Angeles, CA)
    …operating model for 2LOD review and challenge activities which meet Internal Audit and regulatory expectations * Understand material existing and emerging risks ... with 1LOD stakeholders, 2LOD risk type and capability teams, and Internal Audit across disciplines in support of an effective risk management practice and… more
    City National Bank (04/23/25)
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  • IPA Coding Associate Director

    CenterWell (Sacramento, CA)
    …at the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation. + ... development and compliance with coding standards. + Partner with analytics and audit to identify coder errors and develop plans to address deficiencies/specific… more
    CenterWell (04/24/25)
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  • Sr Clinical Compliance Prof. RCM & Coding Auditor

    Humana (Sacramento, CA)
    …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... team ensures that healthcare providers align their operational practices with legal requirements...needed. You will participate in all phases of the audit process including evaluating control design and adequacy, testing… more
    Humana (06/10/25)
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  • Senior Nursing Instructor (Emergency Medical…

    The County of Los Angeles (Los Angeles, CA)
    …developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and ... revises these tools and/or develops new audit tools. + Performs administrative work related to role...work related to role as Emerging Infectious Disease and Healthcare Recovery and Business Continuity Program Manager. + Participates… more
    The County of Los Angeles (06/05/25)
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