-
Auditor III
1 week ago
Inland Empire Health Plan Rancho Cucamonga, United StatesWhat you can expect Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience Under the direction of the Internal Controls Manager, the Internal Controls Auditor III ...
-
Auditor III
3 weeks ago
Inland Empire Health Plans Rancho Cucamonga, United StatesWhat you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an · authentic experience · Under the direction of the Internal Controls Manager, the Internal Controls Audit ...
-
Auditor III
6 days ago
Inland Empire Health Plan Rancho Cucamonga, United StatesWhat you can expect · Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an · authentic experience · Under the direction of the Internal Controls Manager, the Internal Controls Auditor ...
-
Auditor III
3 weeks ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · What you can expect · Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience · Under the direction of the Internal Controls Manager, the Internal Contr ...
-
Auditor III
3 weeks ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · What you can expect · Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience · Under the direction of the Internal Controls Manager, the Internal Contr ...
-
Auditor III
1 week ago
IEHP Rancho Cucamonga, United States Full timeWhat you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience · Under the direction of the Internal Controls Manager, the Internal Controls Auditor ...
-
Compliance Auditor III
1 week ago
IEHP Rancho Cucamonga, United StatesWhat you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience · The Compliance Auditor III is responsible to lead and conduct key activities of the ...
-
Compliance Auditor III
6 days ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · What you can expect · Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an · authentic experience · The Compliance Auditor III is responsible to lead and conduct key activ ...
-
Compliance Auditor III
1 week ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · What you can expect · Find joy in serving others with IEHP We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience · The Compliance Auditor III is responsible to lead and conduct key activi ...
-
Director of Admissions and Records
1 day ago
Chaffey College Rancho Cucamonga, United StatesPosition Description Situated on the ancestral homeland of the Tongva Peoples, Chaffey College is one of the oldest community colleges in California and serves a variety of communities, workforce partners, and students. While other community colleges are often named after their g ...
-
Quality Engineer III
3 weeks ago
Creators Wanted Upland, United StatesNew employees are eligible for the following benefits effective date of hire · Medical, dental, and vision benefits · Company-paid life insurance and disability benefits · Generous Paid time off and 10 paid Holidays · 401k Plan with Company Match · Tuition Reimbursement · Positio ...
-
Director of Internal Audit
3 weeks ago
Montclair State Montclair, United StatesDirector of Internal Audit page is loaded · Director of Internal Audit · Apply · locations · Montclair, NJ · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · R · IMPORTANT APPLICATION INSTRUCTIONS: · Upload Resume or Curriculum Vitae · fo ...
-
Quality Engineer
4 days ago
Express Employment Professionals Monrovia, CA, United States Full timeJob Title: Quality Engineer We are seeking a highly skilled and motivated Quality Engineer ( Q E) Level I I I to join our dynamic team. The ideal candidate will have extensive experience in quality management systems, data analysis, and project management. This role requires a pr ...
-
Quality Systems Engineer
4 days ago
Express Employment Professionals Monrovia, CA, United States Full timeJob Title: Quality EngineerWe are seeking a highly skilled and motivated Quality Engineer (QE) Level III to join our dynamic team. The ideal candidate will have extensive experience in quality management systems, data analysis, and project management. What You Get to Do:PPAP & AP ...
-
Quality Engineer
4 days ago
Express Employment Professionals Monrovia, CA, US, United StatesJob Title: Quality Engineer · We are seeking a highly skilled and motivated Quality Engineer (QE) Level III to join our dynamic team. The ideal candidate will have extensive experience in quality management systems, data analysis, and project management. This role requires a proa ...
-
State of California Riverside County, United StatesJob Posting: Auditor · Department of Consumer Affairs · JC Auditor · PROGRAM REPRESENTATIVE I, DEPARTMENT OF CONSUMER AFFAIRS $5, $7,001.00 per Month · Final Filing Date: 5/22/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off Job Desc ...
-
Quality Engineer
3 days ago
Express Employment Professionals Monrovia, United StatesJob Title: Quality Engineer · We are seeking a highly skilled and motivated Quality Engineer (QE) Level III to join our dynamic team. The ideal candidate will have extensive experience in quality management systems, data analysis, and project management. This role requires a proa ...
-
Manager - Finance & Accounts
3 weeks ago
Urban Mass Transit Company Santa Ana, United States(A) Source of Vacancy · I. Company: Urban Mass Transit Company Limited (UMTC) · II. Department/Area: Finance & Accounts · III. Location: Delhi · (B) Particulars of the Vacancy · I. Position Level: Manager · II. Number of people required: 1 · III. Reporting to: CEO · IV. Job Descr ...
-
Accountant III
3 weeks ago
Plaza de la Raza Child Development Services La Puente, United StatesJob Details · Level · Experienced · Job Location · Administrative Office - City of Industry, CA · Position Type · Full Time · Education Level · 4 Year Degree · Salary Range · $5, $7,136.48 Salary/month · Travel Percentage · None · Job Shift · Day · Description · PRO ...
-
Director of Accounting
5 days ago
Harbinger Motors Garden Grove, United StatesAbout Harbinger · Harbinger Motors Inc. is a Southern California-based electric vehicle manufacturer on a mission to transform the automotive and transportation industries, bringing to market EVs developed from the ground up to address the needs of the Medium Duty vehicle industr ...
Compliance Auditor III - Rancho Cucamonga, United States - Inland Empire Health Plans
Description
What you can expectFind joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an
authentic experience
The Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program.
The Compliance Audit III will oversee compliance auditing and monitoring initiatives to assess and identify compliance risks with Federal and State regulatory and contractual requirements.
The Compliance Auditor III is responsible for conducting compliance audits, reporting results, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations.
PerksIEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
Competitive salary.Hybrid schedule.
CalPERS retirement.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance
Education & Experience
Bachelor's degree in a related field from an accredited institution required.
Master's degree in a related field from an accredited institution preferred.
Minimum of six (6) years in a managed care operations, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals.
Demonstrated experience, at a professional level, in an audit role and in supporting compliance audit program initiatives.Experience conducting compliance audits of internal health plan operations and delegated entities. Demonstrates ability to think and work effectively under pressure and accurately prioritize and complete multiple assignments within established timeframes.
Three (3) years of experience in leading audits.
Key Qualifications
Demonstrated understanding of audit standards and requirements, statistical data interpretation and applicability, risk assessment and control environments, audit theory and processes, and of the professional practice standards of internal auditing.
Demonstrated current knowledge of business ethics and compliance risks and the knowledge to assist with management of those risks in a dynamic health care environment.
Expert knowledge of compliance program principles and requirements.Advanced knowledge of CMS Program Audit Protocols, DHCS Technical Assistance Guides, and DMHC Technical Assistance Guides.
Advanced knowledge of regulatory research and regulations that apply to Medi-Cal and Medicare Managed Care Health Plans.
Start your journey towards a thriving future with IEHP and apply
TODAY
#J-18808-Ljbffr