- Elevance Health (Costa Mesa, CA)
- …external client facing program. **How you will make an impact:** + RFI/ audit point of contact. + Direct and indirect contracting activities for VBC ... commercial offering. + Automated audit of VBC vendor. + Manages and coordinates the...+ Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs. + Develops… more
- WelbeHealth (La Quinta, CA)
- …disciplines + In collaboration with CSD and Quality Improvement Director, serve as the audit lead for clinical and nursing elements during CMS/DHCS audit review ... + Develop and monitor corrective action plans to ensure ongoing compliance **Job Requirements:** + Bachelor's degree in nursing or other healthcare related… more
- Cordis (Irvine, CA)
- …of coronary and peripheral artery disease. Our mission is to revolutionize healthcare by creating next-generation solutions that address unmet and critical medical ... the different stages of clinical trials. You will interact with healthcare professionals and with internal project teams. **Key Accountabilities** + Support… more
- Cordis (Irvine, CA)
- …of coronary and peripheral artery disease. Our mission is to revolutionize healthcare by creating next-generation solutions that address unmet and critical medical ... the different stages of clinical trials. You will interact with healthcare professionals and with internal project teams. **Responsibilities** + Supervise study… more
- City National Bank (Los Angeles, CA)
- …team. Responsibilities will encompass understanding controls required for compliance with applicable regulations, identification of relevant issues, solution ... DO? * Responsible for the support in development and implementation of compliance -related assessments, programs, development of controls to aid in implementation of… more
- Banner Health (CA)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding...coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and… more
- Vagaro (Pleasanton, CA)
- …and year-end close, balance sheet reconciliations, flux analysis, and support for audit and tax requirements. The ideal candidate will combine strong technical ... + Develop and maintain accounting policies and procedures to enhance efficiency and compliance + Partner with external auditors and tax teams to support audits and… more
- LA Care Health Plan (Los Angeles, CA)
- …Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance , Training and QA Manager to develop a successful and cohesive unit with ... to identify areas of improvement to assist the department in increasing positive audit outcomes and improved Customer Service to LA Care's membership. This position… more
- Ventura County (Ventura, CA)
- …of coders that are not meeting quality standards; prepare audit reports, audit summary analysis of accuracy rate, compliance rate with quality standards and ... on the most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and… more
- Fujifilm (Santa Ana, CA)
- …in Tokyo with over 70,000 employees across four key business segments of healthcare , electronics, business innovation, and imaging. We are guided and united by our ... **Job Description** **Responsibilities** + Reviews completed production lot folders for compliance with current regulations and company policies and procedures. +… more