Healthcare Compliance Specialist
2 weeks ago
The Clinical Operations Manager will be responsible for managing Quality Management (QM) and Health Resource Management (HRM) department functions, which focus on Hill Physicians Medical Group compliance with delegated activities including NCQA, state, and federal regulatory requirements, and health plan delegation oversight programs for all regions.
You will oversee the preparation for all health plan audits, represent our organization at these audits, and act as the liaison for all UM and QM regulatory and compliance issues. You will also establish QM and HRM standards compatible with health plans, NCQA, state, and federal regulatory requirements, and health plan delegation changes.
In addition to these responsibilities, you will work closely with our HRM analysts to ensure updated letters are generated by the Authorization system, troubleshoot and recommend improvements to system issues related to Tapestry, FaxCom, and other authorization-related systems, and participate in the testing of system changes, upgrades, service packs, etc. as needed.
We estimate the annual salary for this position to be in the range of $85,000 - $118,000, based on industry standards and location.
-
Safety Compliance Specialist
1 week ago
Sacramento, California, United States Compliance Systems Management Full timeProject Safety Coordinator Job DescriptionAs a Project Safety Coordinator, you will conduct regular safety audits, inspections, and risk assessments on-site. You will ensure compliance with federal, state, and local regulations, as well as company policies. Additionally, you will provide training and guidance to project personnel on safety protocols and best...
-
Healthcare Service Specialist
7 days ago
Sacramento, California, United States Pacific Staffing Employment Specialist Full timePacific Staffing Employment Specialist seeks a skilled Customer Service Representative to join their team in Sacramento. As a member of this dynamic team, you will play a critical role in delivering exceptional customer experiences.Job RequirementsThis is a contract position that requires approximately 2-3 months of commitment. The successful candidate will...
-
Environmental Health Specialist
6 days ago
Sacramento, California, United States Compliance Systems Management Full timeCompliance Systems Management is seeking an experienced Environmental Health Specialist to join our team for a Levee Repair Project located in Sacramento, CA. The ideal candidate will have a strong background in construction safety management, particularly in civil and environmental projects, with a focus on compliance and risk mitigation.Key...
-
Regulatory Compliance Specialist
1 week ago
Sacramento, California, United States WellSpace Health Full timeJob OverviewWe are seeking a highly skilled Regulatory Compliance Specialist to join our team at WellSpace Health. This is an exciting opportunity for a professional who is passionate about ensuring the highest standards of compliance and risk management in the healthcare industry.This role plays a critical part in supporting our compliance program, working...
-
Financial Compliance Specialist
7 days ago
Sacramento, California, United States Infinium Full timeJob OverviewInfinium, a leading electrofuels provider, seeks a skilled Financial Compliance Specialist to join our team in Sacramento, CA. This role is responsible for ensuring timely, auditable payroll and accounting records.About InfiniumWe are on a mission to decarbonize the world by providing synthetic fuels made using renewable power and waste carbon...
-
Regulatory Compliance Specialist
1 week ago
Sacramento, California, United States WellSpace Health Full timeWe are seeking a detail-oriented Compliance Support Specialist to join our team at WellSpace Health. In this role, you will assist the compliance department with various activities, projects, and documentation related to the compliance program.Essential ResponsibilitiesAnalyze compliance activities and generate reports to facilitate informed...
-
Payroll and Compliance Specialist
1 week ago
Sacramento, California, United States AtWork Personnel Services Full timeJob Description: Payroll and Compliance SpecialistWe are seeking a detail-oriented Payroll and Compliance Specialist to join our team at AtWork Personnel Services. In this role, you will be responsible for ensuring accurate and timely payroll processing and compliance with regulatory requirements.The ideal candidate will have 1+ year of experience in payroll...
-
Sacramento, California, United States Compliance Systems Management Full timeJob OverviewWe are seeking a qualified Construction Safety Specialist to oversee the safety of a levee repair project in Sacramento, CA.About the RoleDevelop and implement comprehensive safety programs, ensuring compliance with EM385-1-1 standards.Conduct regular site inspections, audits, and risk assessments to identify potential hazards.Maintain accurate...
-
Screening and Compliance Specialist
2 weeks ago
Sacramento, California, United States VMD Corp Full timeVMD Corp, part of Xcelerate Solutions, is seeking a skilled Screening and Compliance Specialist to join our team. As a key member of our security operations team, you will be responsible for ensuring that all screening procedures are followed according to TSA and airport regulations. This is an exciting opportunity to work with a leading provider of...
-
Financial Compliance Specialist
1 week ago
Sacramento, California, United States MRISpokane Full time**Job Title:** Lending Compliance Analyst**Location:** Spokane, WA (remote work options available)We are seeking a detail-oriented and proactive Financial Compliance Specialist to join our team at MRISpokane. In this role, you will help ensure our lending practices align with all necessary laws and regulations.Analyze regulatory changes and their impact on...
-
Compliance and Operations Specialist
2 weeks ago
Sacramento, California, United States WellSpace Health Full timeJob SummaryWe are seeking a highly skilled Compliance and Operations Specialist to join our team at WellSpace Health. This role will be responsible for ensuring compliance with employment laws, governing bodies, and regulatory agencies.About UsWellSpace Health has provided care and support to individuals and families throughout the Sacramento region since...
-
Site Health and Safety Professional
1 week ago
Sacramento, California, United States Compliance Systems Management Full timeSafety Role OverviewThe ideal candidate for this Safety Compliance Specialist position will have a strong background in construction safety management, particularly in civil and environmental projects. You will develop, implement, and maintain safety and health programs in accordance with EM385-1-1 standards.
-
Seismic Compliance Specialist
1 week ago
Sacramento, California, United States Structural Integrity Associates, Inc. Full timeAbout the PositionWe are seeking an experienced Seismic Compliance Specialist to assist our clients in obtaining International Building Code (or other relevant standard) product certification based on analysis and/or testing under the supervision of a licensed structural engineer.The successful candidate will lead qualification projects for blast, wind, and...
-
Healthcare Compliance Manager
2 weeks ago
Sacramento, California, United States Hill Physicians Medical Group Full timeHill Physicians Medical Group is seeking a skilled healthcare professional to serve as a Quality Management Nurse. This individual will be responsible for managing quality management and health resource management functions, ensuring compliance with regulatory requirements. The successful candidate will possess excellent analytical and problem-solving...
-
Healthcare Training Specialist
2 weeks ago
Sacramento, California, United States State of California Full timeWe are seeking a skilled Healthcare Training Specialist to join our team at the State of California. This exciting opportunity will allow you to utilize your expertise in survey and certification processes to ensure the highest quality of care for patients across the state.About the JobConduct surveys and inspections of healthcare facilities to evaluate...
-
Compliance and Risk Management Specialist
1 month ago
Sacramento, California, United States FIRST US COMMUNITY CREDIT Full timeJob OverviewWe are seeking a highly skilled Compliance and Risk Management Specialist to join our team at FIRST US COMMUNITY CREDIT. The ideal candidate will possess strong knowledge of regulatory compliance, risk management, and internal audit principles.About the RoleThis role is responsible for ensuring that all aspects of our credit union's operations...
-
Safety and Compliance Specialist
2 weeks ago
Sacramento, California, United States Citadel Roofing and Solar Full timeSafety and Compliance Specialist - Roofing IndustryEstimated salary: $70,000 - $100,000 per yearCitadel Roofing and Solar is a respected provider of roofing and solar services in Northern California. We are seeking an experienced Safety and Compliance Specialist to join our team. The ideal candidate will have a strong background in OSHA regulations and...
-
Healthcare Operations Specialist
1 week ago
Sacramento, California, United States Sonder Healthcare Full timeAbout the Opportunity:Sonder Healthcare is seeking a skilled Healthcare Operations Specialist to join our team in Sacramento, CA. This full-time position offers a competitive salary of $22.00 - $25.00 per hour and a range of benefits.In this role, you will be responsible for coordinating healthcare operations, including scheduling appointments, maintaining...
-
Tax Compliance Specialist
2 weeks ago
Sacramento, California, United States Peter Holtz CPA Full timeJob SummaryWe are seeking a Tax Compliance Specialist to join our team at Peter Holtz CPA. As a key member of our tax consulting department, you will work closely with clients to resolve complex tax issues and provide expert guidance on tax planning and compliance.About the PositionThe ideal candidate will possess strong knowledge of federal and state tax...
-
Healthcare Quality Specialist
7 days ago
Sacramento, California, United States Hill Physicians Medical Group Full timeOverview: At Hill Physicians Medical Group, we are shaping the future of healthcare by actively managing care that prevents disease, supports chronic conditions, and anticipates the needs of our members. Our team is dedicated to providing high-quality patient care while ensuring compliance with regulatory requirements.Job Summary: We are seeking a skilled...