- Highmark Health (Sacramento, CA)
- …and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state ... regulatory guidelines, and industry standards. + Monitors, reviews and...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Pharmacy Analyst works with the Pharmacy Market business owners, stakeholders, and other ... new Pharmacy products. + Partnering with business units to ensure compliance with governmental, contractual, and corporate guidelines, continuously monitoring … more
- WSP USA (Los Angeles, CA)
- …representatives on federally, state, and locally funded projects. + Uphold WSP's Code of Conduct, ensuring ethical decision‑making and compliance with safety ... **This Opportunity** WSP is seeking a **Junior Operations & Modeling Rail Planner/ Analyst ** to join our **Transit and Rail Operations team** . Positions are… more
- Coinbase (Sacramento, CA)
- …connection, and alignment. Attendance is expected and fully supported. The Senior Data Analyst , Internal Audit IT will work within the IT Internal Audit team to ... controls via writing complex, yet efficient and reusable SQL code . * Identify potential areas of risk and provide...changes to validate their impact and ensure they meet compliance and performance requirements. * Document and communicate the… more
- Highmark Health (Sacramento, CA)
- …monitoring, review, and timely updates in response to new evidence, regulatory changes, or escalated inquiries. + **Evidence-Based Clinical Criteria Writing:** ... trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues + Sophisticated knowledge of how organizations work and… more
- Highmark Health (Sacramento, CA)
- …trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues + Sophisticated knowledge of how organizations work and ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
- Highmark Health (Sacramento, CA)
- …providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
- Vail Resorts (CA)
- …filled (whichever is first). **Job Summary:** As the Manager of Governance and Compliance on the Resort Application Development team, you will be responsible for ... ensuring that software delivery practices align with regulatory requirements, internal standards, and the defined Software Development Lifecycle (SDLC). You will… more
- The County of Los Angeles (Los Angeles, CA)
- …regulations related to infection prevention and control. + Monitors operational compliance with licensure, accreditation and regulatory standards, and recommends ... Division. The ANDA is responsible for the overall facility compliance and adherence to infection prevention and control standards....application,at the time of filing, or email to the analyst within fifteen (15) calendar days of filing online.… more
- The County of Los Angeles (Los Angeles, CA)
- …nursing practice. + Evaluates and leads corrective actions regarding operational compliance with licensure, accreditation and regulatory standards. + Evaluates ... APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION....and practices, and makes revisions consistent with changing legal, regulatory requirements, and health care trends. + Directs the… more
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