Customer Solution Center Compliance Audit Specialist II

Job SummaryThe Regulatory Compliance Specialist II is responsible for ensuring the Customer Solution Center's readiness for regulatory audits. This position will develop a comprehensive auditing strategy for end-to-end processes, including enrollment processing, member interactions, and service authorization requests. The Specialist will also be responsible...

Job Description**About CCG Business Solutions, LLC**CCG Business Solutions, LLC is a company focused on providing business solutions and talent placement services. With a belief that success starts with the individual, our team has been consulting since 2007. Our mission is to connect purpose to business, driving growth and innovation in the industry.**Job...

Job Description**About CCG Business Solutions, LLC**CCG Business Solutions, LLC is a leading provider of business solutions and talent placement services. Our team has been dedicated to delivering innovative solutions since 2007. We believe that success starts with the individual, and our mission is to connect purpose to business.**Job Summary**We are...

Job Description:US Tech Solutions is seeking a skilled Audit Compliance Specialist to join our Risk, Compliance & Integrity organization. As a key member of our team, you will play a critical role in ensuring the company meets compliance needs and enables our businesses to innovate.Responsibilities:Participate in the planning, readiness, and audit execution...

Job Title: Customer Solutions Center Appeals and Grievances Training Specialist IIAt CCG Business Solutions, LLC, we are seeking a highly skilled and experienced Training Specialist II to join our team. As a key member of our Customer Solutions Center Appeals and Grievances team, you will be responsible for providing ongoing training on the core processing...

Job SummaryThe Customer Solution Center Enrollment Services Representative II plays a critical role in ensuring the accuracy and integrity of member data in our core system. This position is responsible for auditing, researching, and updating member data, including provider and plan partner assignments, member demographics, and troubleshooting complex...

About the RoleThe Regulatory Compliance Specialist II is a critical position within L.A. Care Health Plan, responsible for ensuring the organization's compliance with regulatory requirements. This role will play a key part in maintaining the company's reputation for quality healthcare services.Key ResponsibilitiesDevelop and implement audit procedures to...

Job SummaryWe are seeking a highly skilled Compliance and Credentialing Specialist to join our team at the Kheir Center. As a key member of our Compliance and Credentialing teams, you will play a critical role in ensuring our organization meets all necessary laws, regulations, and policies.The ideal candidate will have a strong background in healthcare...

Job Title: Community Resource Center Specialist IIJoin Solugenix Corporation, a leading information technology services company, in our search for a highly skilled Community Resource Center Specialist II. This is a 3+ month contract opportunity based out of Los Angeles, CA (Onsite).About the Role:The Community Resource Center (CRC) Specialist II plays a...

Job SummaryWe are seeking a highly skilled Compliance and Operations Specialist to join our team at the Kheir Center. As a key member of our Compliance and Credentialing teams, you will play a critical role in ensuring our organization meets all necessary laws, regulations, and policies.The ideal candidate will have a strong background in healthcare...

Job Title: Community Resource Center Specialist IIWe are seeking a highly motivated and detail-oriented Community Resource Center Specialist II to join our team at Solugenix. As a key member of our team, you will play a critical role in supporting the coordination of member-centric customer service, responding to and resolving inquiries and questions, and...

Job Title: Project Coordinator II - Labor ComplianceJob Summary:O2EPCM, Inc. dba O2 Engineering, Projects & Construction Management is seeking a highly skilled Project Coordinator II - Labor Compliance to join our team. The successful candidate will be responsible for monitoring, auditing, and enforcing the LACCD Labor Compliance Program in accordance with...

Job SummaryThe Customer Solution Center Appeals and Grievances Specialist II will be responsible for receiving, investigating, and resolving member and provider complaints and appeals in a timely and professional manner. This role requires strong analytical and problem-solving skills, as well as the ability to exercise independent judgment and make sound...

Job SummaryMV Transportation is seeking a highly skilled Compliance Specialist to join our team. As a key member of our compliance team, you will play a critical role in ensuring our divisions meet regulatory requirements and maintain a strong compliance program.Key ResponsibilitiesDevelop and implement strategies to improve regulatory compliance within each...

Job Title: Labor Compliance SpecialistJoin the CLMI Group LLC team as a Labor Compliance Specialist and play a crucial role in ensuring compliance with labor laws and regulations in the construction industry.Job Summary:The Labor Compliance Specialist will be responsible for monitoring, auditing, and enforcing labor compliance programs in accordance with...

Compliance Specialist/Coordinator Job DescriptionWe are seeking a highly skilled Compliance Specialist/Coordinator to join our team at Jobot. As a Compliance Specialist/Coordinator, you will play a critical role in ensuring our company adheres to all legal standards and in-house policies.Key Responsibilities:Ensure compliance with all relevant regulations,...

Job Title: Regional Compliance SpecialistOverview:We are seeking a highly skilled Regional Compliance Specialist to join our team at MV Transportation. As a key member of our compliance team, you will play a critical role in ensuring our divisions meet compliance requirements in areas such as company standards, regulatory safety, drug and alcohol programs,...

About Michael Baker InternationalMichael Baker International is a leading consulting firm that provides innovative solutions to infrastructure and environmental challenges worldwide. With a team of over 4,000 employees in nearly 100 locations across the United States, we offer a wide range of engineering and consulting services.Job SummaryWe are seeking a...

Job Title: Finance Specialist IIMetrolink is seeking a highly skilled Finance Specialist II to join our team. As a key member of our finance department, you will be responsible for performing a wide range of accounting tasks, including accounts payable and general accounting.Key Responsibilities:Accurate data entry of invoices, check requests, and expense...

Job SummaryThe Customer Solution Center Appeals and Grievances Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment. This position will provide resolution of complaints in compliance with regulatory requirements.Key ResponsibilitiesIdentify, investigate, and resolve...