Your Role The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Specialist, Consultant will report to the Government Programs Compliance Senior Manager. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements. Your Knowledge and Experience Requires a college degree or equivalent experience Requires a minimum of 7 years of prior relevant experience Requires extensive experience in the compliance department for a managed care health plan Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care Competent in Excel, PowerPoint, and SharePoint Professional certifications and additional degrees a plus #J-18808-Ljbffr
...requisitions and specimen site batches, maintain a clean, well-stocked phlebotomy room; enter test information into the computer and search... ...specified. Prefer completion of a specialized phlebotomy training program.LICENSURE/CERTIFICATION/REGISTRY:Phlebotomy Technician...
...Affiliate Instructor - Political Science Employee Type: Regular Office/Department: Political Science (JMA) Work Environment: Loyola University Maryland Main Campus Job Type: Part time Anticipated Start Date: 09/01/2024 Benefits at Loyola: If Temporary...
...~2-4 years of experience as a data analyst with proficiency in data manipulation and analysis tools (e.g., SQL, Python, Tableau, Power BI)~ Strong analytical skills with the ability to interpret complex data sets and draw meaningful conclusions ~ Excellent communication...
...taxation issues. Demonstrates understanding of accounting, bookkeeping, and financial statements including financial reporting. Ability... ..., tax interns and admin staff Working longer hours and weekends during tax season. Qualifications Education: Bachelor...
...Genie Healthcare is seeking a travel nurse RN Special Procedures for a travel nursing job in Flemington, New Jersey. Job Description... ...Genie Healthcare is looking for a RN to work in GI / Endoscopy for a 12.57 weeks travel assignment located in Flemington, NJ for...