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The Manager, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP’s overall Utilization Management Out-Patient Operations departmental clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities (e.g., Prior Authorization, UM Call Center operations.
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This position will also oversee delegate clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities.
$56.85 - $91.64 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
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Identify unusual customer transaction patterns indicative of suspicious activity; implement and support the BSA automation system, which will aid in the Bank’s compliance with all Anti-Money Laundering laws, USA Patriot Act and OFAC. Investigate suspicious activity and be responsible for the preparation and filing of Suspicious Activity Reports within regulatory timelines.
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You will provide advice and training to business partners on trade compliance processes and procedures that comply with Customs laws and regulations and other regulatory compliance agencies’ governing the clearance of import and export shipments.
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In-house litigation roles at Allstate encompass a broad spectrum of legal work beyond traditional litigation, including regulatory compliance, risk assessment, and dispute resolution. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
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Diverse Legal Challenges: In-house litigation roles at Allstate encompass a broad spectrum of legal work beyond traditional litigation, including regulatory compliance, risk assessment, and dispute resolution.
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At least 10 years of risk management, occupational health and safety and regulatory compliance experience required. Solid understanding of occupational health and safety principles and practices including regulatory compliance.
$110,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This includes talent acquisition and development, compensation and benefits, employee relations, labor relations, HR compliance, and diversity and inclusion initiatives. Stay abreast of legal and regulatory changes affecting HR and advise the CHRO and senior management accordingly.
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Minimum Requirements: Juris Doctorate and active membership in good standing with the California State Bar. 3+ years of litigation and/or subrogation experience. As a Senior Trial Attorney, you'll handle bodily injury, property damage lawsuits, and more, with thrilling trials, arbitrations, and mediations.
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Experience with legal and regulatory compliance standards such as GDPR, HIPAA, HITRUST, etc. Experience with IT governance, risk, and compliance management in a large global environment.
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Acts in accordance with regulatory and compliance requirements that include, but are not limited to, Anti-Money Laundering and Terrorist Financing Reporting requirements, FCAC consumer provision requirements, and Privacy Act provisions in accordance with Bank Policies & Procedures.
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This includes activities related to, but not limited to, market feedback, product development, process development, working with vendors, field validation, field (jobsite) scale-up, commercialization testing and regulatory compliance.
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Scope: The desired candidate will be responsible for assisting the EHS Manager in the implementation of the safety, health, and environmental program through proactive actions beyond regulatory compliance.
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Solid understanding of industry specific audit issues and attest services in any of the following areas; financial statement audit, regulatory compliance, due diligence and structuring, process and controls, or assertions and agreements.
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regulatory compliance jobs in Rancho Cucamonga, CA
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