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The Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. Minimum of six (6) years in a managed care operations, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals.
$38.37 - $48.93 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Process Annual OCAF (Owners Certification Adjustment Factor) and TCAC Filings after review by the Compliance Director. Assist the Compliance Director with special projects as needed. Site Compliance Specialist.
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The Sr. Compliance and Risk Analyst position is responsible for contract review, insurance filings/claim management, and review of collateral and other materials prior to being presented to members.
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Maintains routine programs and processes to ensure high quality products and compliance with FDA current Good Distribution Practice (GDP) and National Association or Boards of Pharmacies (NABP) Verified-Accredited Wholesale Distributors (VAWD) requirements.
$75 - $80 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The GCP & PV Regulatory Compliance Fellowship provides comprehensive practical hands-on biopharmaceutical training and fosters an environment of learning within a fast-growing biopharmaceutical company.
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To ensure HSE compliance by all employees and contractors in adherence to a Saudi global energy company and governmental regulations. Our client is seeking a Lead Field Compliance HSSE Engineer to join our Operational Excellence and Compliance Unit. This unit is the overarching umbrella for the department's focus areas, enabling elements and their associated systems, processes, and practices.
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Provide general compliance support to construction projects requiring prevailing wage and other specific contracted labor requirements. Participate in risk assessment on the Compliance Programs and communicate to project teams.
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The Compliance Auditor III is responsible for conducting compliance audits, reporting results, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations.
$38.37 - $48.93 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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As the Supervisor, UM Regulatory & Compliance, you play a pivotal role in ensuring the success, productivity, and regulatory compliance for Prior Authorization process within Utilization Management Out-Patient Services.
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Must have 2-5 years previous experience in affordable housing compliance or affordable property management. Assist the Compliance Specialist with lease up's and onsite file reviews as needed.
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Under the direction of department leadership, the Financial Analyst I - Financial Compliance is responsible performing analysis and preparing financial reports/dashboards for claims overpayments, refund reconciliation, claims payment information, provider billing trends, audit findings, etc.
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CERTIFICATES, LICENSES, REGISTRATIONS:Certified Regulatory Compliance Manager (CRCM) and/or Certified Fiduciary and Investment Risk Management Specialist (CFIRS) credentials are desirable. Maintains proficient knowledge of regulatory and related laws as they pertain to Deposit Operations and Trust compliance focus areas.
$127,475 - $184,838 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Quality Control (QC) Compliance Specialist (Microbiology) will support the QC Microbiology department with the development, implementation, and monitoring of Quality Control activities to ensure compliance to applicable procedures, policies, and regulations.
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This position involves a high level of quantitative and qualitative analysis, risk management, problem-solving, project management, leadership, and cross-functional collaboration across our Tax organization and broader ADP. As a Senior Manager of Strategic Compliance Delivery, you will cultivate and maintain effective working relationships with a variety of stakeholders and partners, including external clients and workers, other senior leaders, and staff members.
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Maintain strong relationships with compliance management & government affairs leadership. 5+ years of leadership experience in payroll tax filing/compliance change management/process improvement/project management/operations.
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Title: compliance Company: Rialto Capital Advisors Of New York in Ontario, CA
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