- The County of Los Angeles (Los Angeles, CA)
- …achieving compliance with State and Federal nursing regulations, and with the professional staff of the County Health Facilities Inspection Division in evaluating ... of clinical practices and process, to assess compliance with regulatory and legal mandates. + Collects data necessary for the evaluation of infection prevention… more
- Walgreens (San Francisco, CA)
- …experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- Humana (Sacramento, CA)
- …ensures that healthcare providers align their operational practices with legal requirements while fostering collaborative relationships with business partners to ... uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with… more
- AECOM (Sacramento, CA)
- …reports as required + Support the review of contractor estimates and claims . + Develop policies and procedures for programmatic cost estimating. **Qualifications** ... of accurate cost estimates in a schedule driven program environment. + Professional certification as cost estimator and/or engineer. + Management experience on large… more
- County of El Dorado (Placerville, CA)
- …goals, including progress of Quality Improvement Plan. + Review monthly revenue claims and verifies costs being claimed. + Plan, organize, and create documents ... and execute contracts. + Administer contracts, ensuring compliance with all legal and contractual requirements. + Review requisitions for completeness and accuracy.… more
- Deloitte (Sacramento, CA)
- …interest matters involving a vast array of taxpayers and industries? Do you enjoy legal research and client advocacy? Do you have a passion for applying your ... Revenue Service ("IRS") and litigation settlement, interest reviews, and IRS refund claims . + Assist clients and Deloitte engagement teams with federal interest and… more
- Leonardo DRS, Inc. (Cypress, CA)
- …and conditions and to minimize risk + Establish and maintain sound professional relationships with suppliers. Resolve issues (eg pricing, quality, timing, claims ... contribution to a health savings account, telemedicine, life and disability insurance, legal insurance, and a 401(k) savings plan. We champion wellness programs that… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... regarding appeals and grievances are in compliance with state and federal legal and regulatory requirements and NCQA accreditation standards. + Case Files and… more
- The Hartford (Walnut Creek, CA)
- …of The Hartford Risk Engineering services with the client. .Review all claims and losses prior to visiting clients and provide appropriate information sharing ... any risk or exposure reductions or elimination. .Maintain a strong professional relationship w/brokers and communicate effectively on shared business. .Participate… more
- Prime Healthcare (Ontario, CA)
- …field + Minimum of three years of experience as a hospital Compliance professional or within a Compliance Department or Legal Department performing compliance ... of laws relating to Medicare, Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the Anti-kickback Statute + Experience in conducting or responding to… more