- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job We're ... in the biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate… more
- The County of Los Angeles (Los Angeles, CA)
- …Contract Program Auditor * monitoring and evaluating health services contracts for compliance , two (2) years' of which experience must have been in a supervisory ... Program Auditor * monitoring and evaluating health services contracts for compliance . If you do not have this experience please indicate "Not Applicable".… more
- Humana (Sacramento, CA)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Sharp HealthCare (San Diego, CA)
- …To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance in accordance ... healthcare environment related to auditing of medical records and CMS compliance . - Required **Essential Functions** + AuditingParticipates in audit risk assessment… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor . You will review claims (paid, pending, and denied)...services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies and procedures. You will: + Research… more
- Highmark Health (Sacramento, CA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- The Cigna Group (Sacramento, CA)
- …acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate ... an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals,… more
- Sodexo (Livermore, CA)
- …for the implementation and maintenance of a coordinated and integrated Data Compliance , Quality, and Risk Program for Clinical Engineering throughout Sodexo ... HTM Operations nationally; will serve as SME, educator, advisor, auditor and quality and risk manager. This position serves...changes. Serve as a resource for all corporate / clinical / regional and corporate entities regarding compliance… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and help create possible, together. **Job Description** The Associate Director- QA Compliance , will report to the Director of Supplier Management and Auditing. This ... or testing, software, warehouse / distribution in support of Gilead's clinical and commercial oral and parenteral dosage formulations and associated medical… more
- Cardinal Health (Sacramento, CA)
- …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... Risk, who will play a Program Lead role focused on driving IT Privacy Compliance for the organization. **_Job Overview:_** This role is a leader position within the… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... responsible for implementing these policies and procedures to ensure compliance . Discusses accounting systems studies and findings with departmental personnel.… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... control systems. Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support… more
- Sharp HealthCare (San Diego, CA)
- …business practices. **What You Will Do** The Supervisor of Quality and Regulatory Compliance for Hospice supports and oversees the hospice team in conjunction with ... collegial relations and collaborates with leadership, risk management, and clinical /ancillary/support service staff in cross-functional process improvement, collaborative teamwork,… more
- Kelly Services (Valencia, CA)
- …FDA, EU MDR, and global markets. + **Skills & Competencies:** + Certified Lead Auditor with audit and compliance expertise. + Proficient in Microsoft Dynamics ... **Kelly(R) Science & Clinical is seeking a Regulatory Affairs Manager for...guidance of the Director of Quality Operations to ensure compliance with the company's Quality System and Regulatory Affairs… more
- Stanford University (Stanford, CA)
- …of patients with serious lung disease. Our goal is to provide outstanding clinical and research training to the next generation of leaders in Pulmonary, Allergy, ... and Critical Care Medicine. We are committed to strong clinical investigations including the evaluation of new pharmacologic agents, which offer potentially… more
- Omnicell (Milpitas, CA)
- …Assist in creating and executing EHS programs and policies to ensure compliance with local, state, and federal regulations. + **Risk Assessment and Management:** ... for employees, contractors, and visitors to promote awareness and compliance . + **Incident Investigation:** Lead investigations into EHS incidents, accidents,… more
- LA Care Health Plan (Los Angeles, CA)
- …to complete the HEDIS project within the time frame for submission to the auditor , NCQA, and regulatory agencies. Identifies compliance issues on records and ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Sharp HealthCare (San Diego, CA)
- …Security -PREFERRED **Other Qualification Requirements** + Certified Information Security Auditor (CISA) Required within 12 months of hire. EnCase Certified ... and reporting on the effectiveness and efficiency of ITRM controls and compliance policies.Leads department efforts to evaluate, recommend and implement methods and… more
- Molina Healthcare (San Diego, CA)
- …+ Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... HEDIS and Risk data **Preferred Education** Master's Degree or higher in a clinical field, Public Health or Healthcare **Preferred Experience** + 1 year of… more