- Grant Thornton (Los Angeles, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- Dignity Health (Bakersfield, CA)
- …for audit purposes. - Collaborate with internal departments, including claims processing, UM, compliance, and provider relations, to develop and implement ... relationships with provider representatives. - Prepare and present detailed reports on claims research activities, findings, and outcomes to senior management. -… more
- CVS Health (Sacramento, CA)
- …an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...reporting using SQL and SAS. You will continuously improve quality controls and accuracy of reported data, looking for… more
- The County of Los Angeles (Los Angeles, CA)
- …implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and revises ... SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230)...these tools and/or develops new audit tools. + Performs administrative work related to role… more
- DoorDash (San Francisco, CA)
- …at DoorDash. About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance ... and influence key areas of our risk strategy. You will report to the Senior Manager, Actuary. You're excited about this opportunity because you will + Contribute to… more
- L3Harris (Canoga Park, CA)
- …land, sea and cyber domains in the interest of national security. Job Title: Senior Associate, Procurement Job ID: 23403 Job Location: Canoga Park, CA Job Schedule: ... hours worked - and have every other Friday off Job Description: The Senior Associate, Procurement plans and implements activities related to the procurement of raw… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …This pivotal leadership role is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, ... and collaborating on risk strategies which includes risk partners in compliance, legal, quality , patient safety, clinical risk, claims , etc. * Collaborating with… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical… more
- Ankura (Los Angeles, CA)
- …least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred, but not required + ... processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D… more
- Dignity Health (Bakersfield, CA)
- …will be expected to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, ... deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions… more