Compliance Audit Services Specialist, Principal
4 weeks ago
Your Role
The Promise Compliance Audit Services team oversees all functions of an effective Compliance Program for Blue Shield of California Promise Health Plan. The Compliance Audit Services, Principal will report to the Senior Director, Compliance Audit Services. In this role you will be involved in monitoring and oversight of operational business areas to ensure compliance with contractual and regulatory requirements. You will be responsible for interfacing with other departments regarding the implementation of new or updated regulatory mandates. You will also act as a subject matter expert for regulatory inquiries and support the Compliance Program as needed.
Your Work
In this role, you will:
Be responsible for preparation andsubmissionall standard and nonstandard insurance documents and researching related issues of highly complex nature and recommending solutionsContract management to evaluate adequacy of standard, on-standard, and exception insurance contract requirements & provide recommendationsOversee and develop new processes andprocedureto ensure consistency, accuracy, and efficiency of coordination activities with respect to riskCoordinateroutine and nonroutine processes for insurance application activities between the Company, brokers, and liability insurance carriers to ensure Certificates of Insurance are up-to dateProvide highly complex analysis and define potential loss areas and appropriate type and level of loss protection to be insuredDirects the work of stakeholders or acts as a cross-functional team leadWorks collaboratively in a cross-functional, execution focused environment on large and complex projects of strategic importance to the organizationIndependently prepares clear and concise documentation and leadership reportingLeverages industry best-practice & benchmarking data to drive program maturationOversees the maintenance of existing GRC process documentation, policies, internal controls, training resources, & communications and leads team through the development of new artifacts to support program objectivesYour Knowledge and ExperienceRequires a bachelor's degree or equivalent experienceRequires at least 10 years of prior relevant experienceMust have at least 2 years of prior Medi-Cal mandate implementation experienceCertification in Health Care Compliance preferredRequires strong written and verbal communication skills, relationship building and facilitation skillsRequires strong negotiation skills and ability to successfully interact with all levels of managementPreferred experience planning and leading major initiatives/projectsProficient in Microsoft office (Excel, Outlook, Word, Visio, etc.)Pay Range: The pay range for this role is $136,400.00 to $,204,600.00 for California.Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-LC1
-
Long Beach, California, United States Blue Shield of California Full timeYour RoleThe Compliance Audit Services team at Blue Shield of California Promise Health Plan is dedicated to ensuring the effectiveness of our Compliance Program. The Principal Compliance Audit Services Consultant will report directly to the Senior Director of Compliance Audit Services. In this capacity, you will engage in the monitoring and oversight of...
-
Lead Internal Audit Specialist
1 week ago
Long Beach, California, United States The Ladders Full timePRIMARY FUNCTION: This role is essential for supporting the Board in overseeing the effectiveness of school programs and internal controls through comprehensive audits and evaluations. REPORTS TO: Senior Director, Internal Audit SALARY SCHEDULE: A-5 WORK DAYS: 250 REQUIREMENTS: Education Level: Bachelor's degree in business administration, accounting,...
-
Head of Audit and Compliance
3 days ago
Newport Beach, California, United States Lugano Diamonds Full timeAbout YouThe Director of Audit and Compliance plays a pivotal role within the Accounting division, overseeing the Sarbanes-Oxley compliance initiative, ensuring a robust internal control framework, and managing reporting and compliance for our parent organization. This position also entails coordinating quarterly audits with both internal and external...
-
Head of Audit and Compliance
1 week ago
Newport Beach, California, United States Lugano Diamonds Full timeAbout YouThe Director of Audit and Compliance plays a pivotal role within the Accounting division, overseeing the Sarbanes-Oxley compliance initiative, fostering a robust internal control framework, and ensuring accurate reporting and compliance for our parent organization. This position is also responsible for managing quarterly audits conducted by both...
-
Head of Audit and Compliance
3 days ago
Newport Beach, California, United States Lugano Diamonds Full timeAbout YouThe Director of Audit and Compliance plays a pivotal role within the Accounting division, spearheading the Sarbanes-Oxley compliance initiative, upholding a robust internal control framework, delivering reporting and compliance to our parent organization, and overseeing quarterly audits conducted by both internal and external auditors. This position...
-
Staffing Compliance Specialist
1 week ago
Long Beach, California, United States Harborview Behavioral Health Center Full timeCompensation Range: $23.00-$27.00 HourlyYour Impact: Make a meaningful contribution every day to the lives of those in need. Become part of a mission-focused organization that prioritizes its people. Exceptional opportunities for career advancement await you.Experience a career that emphasizes: Supporting neglected and vulnerable individuals. Commitment to...
-
Food Safety Compliance Officer
18 hours ago
Long Beach, California, United States Department of Energy, Environment and Climate Action Full timeJob DescriptionRole SummaryThe Horticulture Standards Engagement Specialist will support engagement and service delivery activities related to preparedness, implementation, and regulation of the National Food Safety Horticulture Standards for Leafy Vegetables, Melons, and Berries. This role will work closely with industry and grower groups, including...
-
Customer Service Specialist
1 week ago
Long Beach, California, United States 4MDental Management Services Full timeJob OverviewPosition: Customer Service SpecialistWe are looking for a dedicated and customer-focused individual to fill the role of Customer Service Specialist at 4MDental Management Services. In this position, you will play a crucial role in delivering outstanding support to our clients through various communication channels.Key Responsibilities:Responding...
-
Customer Service Specialist
4 days ago
Long Beach, California, United States 4MDental Management Services Full timeJob OverviewPosition: Customer Service SpecialistWe are looking for a dedicated and enthusiastic Customer Service Specialist to enhance our customer support operations. In this role, you will be tasked with delivering outstanding service to our clientele through various communication channels.Key Responsibilities:Responding to incoming inquiries with...
-
Fraud Investigation Reporting Specialist
1 week ago
Long Beach, California, United States Molina Healthcare Full timePosition OverviewThe Fraud Investigation Reporting Specialist plays a crucial role within the Special Investigation Unit (SIU) at Molina Healthcare. This position operates under the guidance of the Manager, ensuring that fraud, waste, and abuse (FWA) referrals are meticulously recorded, documented, and assigned for thorough investigation. The Specialist is...
-
Employee Benefits and Compliance Specialist
21 hours ago
Long Beach, California, United States Beach Front Property Management, Inc. Full timeJob SummaryBeach Front Property Management, Inc. is seeking a highly skilled Benefits and Compliance Specialist to join our team. The ideal candidate will be responsible for managing and overseeing various aspects of employee benefits and compliance programs.Key Responsibilities401k Retirement Plan ManagementAdminister and manage the company's 401k...
-
Aviation Compliance Officer
1 week ago
Long Beach, California, United States Federal Aviation Administration Full timeOverview This role is designated as a Principal Management Inspector (PMI) within the Federal Aviation Administration. Eligibility This position is available to current permanent employees of the FAA. Key Responsibilities The Aviation Compliance Officer (ACO) operates under the guidance of management, focusing on broadly defined objectives. The ACO...
-
Professional Services Coordinator
22 hours ago
Long Beach, California, United States Dental Health Services Full timeJob OverviewWe are seeking a highly skilled and experienced Professional Services Support Manager to join our team at Dental Health Services. This is a full-time position that will play a critical role in overseeing the Professional Services Support department's personnel, activities, and functions.Key ResponsibilitiesLead and direct the Professional Support...
-
Regulatory Compliance Supervisor
1 week ago
Long Beach, California, United States Jobot Full timePosition Overview:We are a consulting firm seeking a Regulatory Compliance Supervisor to enhance our expanding team. This role is pivotal in ensuring our organization meets legal standards and internal policies.About Us:As a leading consultant in the manufacturing sector, we pride ourselves on our commitment to excellence and integrity. Join us to contribute...
-
SHE Environmental Compliance Engineer
3 days ago
Long Beach, California, United States Ineos Group Ltd Full timeCompany: INEOS Olefins & Polymers USA Organizational Context and Job Purpose Organizational Context: INEOS is a leading global producer of petrochemicals, specialty chemicals, and oil products, operating across 18 distinct businesses with a strong heritage in the chemical sector. The INEOS Olefins & Polymers USA division plays a vital role in the North...
-
Sustainability and Safety Specialist
1 week ago
Long Beach, California, United States Vast Full timeAbout Us:At Vast, we are dedicated to paving the way for a future where humanity can thrive beyond Earth. Our innovative approach involves the creation of artificial gravity space stations, enabling extended human habitation in space without the detrimental effects associated with zero-gravity environments.Our flagship project, a commercial space habitat, is...
-
Director of Safety and Compliance
5 days ago
Long Beach, California, United States Vaco Full timeJob SummaryVaco is seeking a highly skilled and experienced Director of Safety to lead and manage our safety programs across all company operations. The Director of Safety will be responsible for developing and implementing comprehensive safety policies, ensuring compliance with all relevant regulations, and fostering a culture of safety throughout the...
-
Director of Safety and Compliance
9 hours ago
Long Beach, California, United States Vaco Full timeJob SummaryVaco is seeking a highly skilled and experienced Director of Safety to lead and manage our safety programs across all company operations. The Director of Safety will be responsible for developing and implementing comprehensive safety policies, ensuring compliance with all relevant regulations, and fostering a culture of safety throughout the...
-
Customer Service Specialist II
1 week ago
Long Beach, California, United States APL Logistics Full timeJob Title: Customer Service Specialist IIOverview:The Customer Service Specialist II plays a crucial role in managing communications with clients in a professional, timely, and effective manner. This includes addressing inquiries, processing orders, and resolving complaints. The Specialist II is equipped to handle more complex, non-routine customer issues...
-
Regulatory Compliance Specialist
4 days ago
Redondo Beach, California, United States Kelly Science, Engineering, Technology & Telecom Full timePosition: Regulatory Compliance Specialist with Expertise in LabelingLocation: Redondo Beach, CA - Onsite RoleWork Schedule: Monday to Friday, standard hoursCompensation: $40-45 per hourEmployment Type: Temporary to PermanentKey Responsibilities:Facilitates discussions with Global/Platform Regulatory Affairs, Research & Development, Clinical teams, and other...