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Compliance Specialist
3 days ago
First Foundation Bank Pasadena, United StatesJob Description · Job Description · Summary: · This position is responsible for overseeing adherence of the Bank's policies and procedures to federal and state laws and regulations. · Saray Range: · The salary range in CA for this role is $62,800 to $87,900 and represents the ...
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Compliance Specialist
1 week ago
First Foundation Bank Pasadena, United StatesJob Description · Job DescriptionSummary: This position is responsible for overseeing adherence of the Bank's policies and procedures to federal and state laws and regulations. · Saray Range: The salary range in CA for this role is $62,800 to $87,900 and represents the Company's ...
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Sr. Compliance Specialist
2 weeks ago
First Foundation, Inc. Pasadena, United StatesThis position is responsible for overseeing the adherence of the Bank's policies and procedures to federal and state laws and regulations. Salary Range: The salary range in CA for this role is $71,600/yr to $101,600/yr and represents the Company's go Compliance Specialist, Compli ...
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Sr. Compliance Specialist
2 weeks ago
First Foundation Inc. Pasadena, United StatesSummary: This position is responsible for overseeing the adherence of the Bank's policies and procedures to federal and state laws and regulations. · Salary Range: The salary range in CA for this role is $71,600/yr to $101,600/yr and represents the Company's good faith minimum an ...
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Compliance Specialist
4 weeks ago
Bishop Gold Group Los Angeles, United StatesBishop Gold Group is seeking a diligent and analytical Compliance Specialist to support our growing Sales team in our West LA office. This person will be instrumental in ensuring that our Sales representatives are adhering to all company and legal guidelines while they are conduc ...
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Compliance Specialist
21 hours ago
Global Channel Management Los Angeles, United StatesAbout the job Compliance Specialist · Compliance Specialist needs 3+ years of strong experience workforce contract · Compliance Specialist requires: · Labor compliance · Certified payroll · Subcontractor management · Diversity/Equality and Inclusion · Small Business Enterp ...
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Compliance Specialist
21 hours ago
Aperto Property Management Los Angeles, United StatesAt Aperto Property Management, Inc., we invest in great people. We would love for you to become a part of our teamPlease select the position you are interested in... Previous compliance experience is requiredMinimum 3 years experience with LIHTC & HUD programs is requiredCertific ...
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Sr. Compliance Specialist
3 weeks ago
First Foundation Pasadena, United StatesSummary: This position is responsible for overseeing the adherence of the Bank's policies and procedures to federal and state laws and regulations. · Salary Range: The salary range in CA for this role is $71,600/yr to $101,600/yr and represents the Company's good faith minimum a ...
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Sr. Compliance Specialist
2 weeks ago
First Foundation Bank Pasadena, United StatesJob Description · Job DescriptionSummary: This position is responsible for overseeing the adherence of the Bank's policies and procedures to federal and state laws and regulations. · Salary Range: The salary range in CA for this role is $71,600/yr to $101,600/yr and represents th ...
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Compliance Specialist
3 days ago
First Foundation Bank Los Angeles, United StatesJob Description Job Description Summary: This position is responsible for overseeing adherence of the Banks policies and procedures to federal and state laws and regulations.Saray Range: The salary range in CA for this role is $62,800 to $87,900 and represents the Company's good ...
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Regulatory Compliance Specialist
3 weeks ago
Bishop Gold Group Los Angeles, United StatesBishop Gold Group is seeking a diligent and analytical RegulatoryCompliance Specialist to support our growing Sales team in our West LA office. This person will be instrumental in ensuring that our Sales representatives are adhering to all company and legal guidelines while they ...
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Compliance Specialist
2 weeks ago
AltaMed Health Services Montebello, United StatesWork Boldly. Live Brilliantly. · At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challen ...
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Environmental Compliance Specialist
3 weeks ago
Spencer Ogden Los Angeles, United StatesMost of the company's facilities are located in California. Under the direction of the Environmental Compliance Supervisor, this position will primarily engage in providing environmental compliance support to the EHS, construction and operations teams during the late-stage develo ...
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Compliance Specialist
1 week ago
Solari Enterprises Orange, United StatesPosition Overview: · We currently have a Compliance Specialist position available in Orange, CA The position is an exempt level role that requires the use of independent judgment and decision-making skills as well as educational expertise to maintain compliance of the regulatory ...
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Compliance Specialist
1 hour ago
Western National Group Chino, United StatesDon't make me use my Tax Compliance Specialist voice · You will love working at Western Why? Because we make a difference in the lives of others. What we do is really important and while we're at it, we know you'll have fun, you'll be rewarded, and you'll be enveloped in the sp ...
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Compliance Specialist
1 hour ago
Quality Management Group Ontario, United StatesWe manage communities and living spaces that residents are proud to call home. We serve and respect all while preserving and enhancing the homes and communities we are entrusted to care for with an eye to the future. · Our mission is to empower our employees to serve, to build a ...
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Compliance Specialist
1 day ago
Zinus Fullerton, United StatesJob Description · Job Description · Compliance Specialist · We like to think we're in the business of creating harmony. It's why we fit fluffy beds into boxes and make bed frames and sofas that are as easy to assemble as they are to relax or fall asleep on. We are here to desi ...
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Compliance Specialist
4 days ago
Zinus Inc Fullerton, United StatesJob Description · Job DescriptionCompliance SpecialistWe like to think we're in the business of creating harmony. It's why we fit fluffy beds into boxes and make bed frames and sofas that are as easy to assemble as they are to relax or fall asleep on. We are here to design tiny r ...
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Compliance Specialist
2 days ago
Child & Family Center Santa Clarita, United StatesAt Child & Family Center, we believe that when unity in diversity exists, progress and growth is inevitable, and that diversity goes beyond gender & race. We aim for a diverse workforce and strongly encourage candidates of all backgrounds & experiences to apply. · Child & Family ...
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Product Compliance Specialist
11 hours ago
Gibson Overseas Los Angeles, United StatesAbout Gibson · Gibson Homewares is the nation's leading producer of dinnerware, cookware, cutlery, tools, and gadgets - all the essentials needed for prep, cooking, dining, and entertaining. · For over 40 years and spanning four generations as a respected and trusted family-own ...
Utilization Management Compliance Specialist - Pasadena, United States - Imperial Health Plan Of California Inc.
Description
JOB SUMMARY:
Support the Utilization Management (UM )Program and required regulatory deliverables for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, accreditation best practices and on-going training activities.
ESSENTIAL JOB FUNCTIONS:
Serve as the UM Compliance Specialist with Delegated Health Plan contacts for reporting deliverables. Track due dates and deliverables.
Assist UM Lead Compliance Specialist with development of policies and procedures, program plans, and work plans for IHP/IHHMG.
Assist in the organization of internal and external audits, compile requested documents for UM IHP/IHHMG regulatory audits, manage audit repositories and maintain master audit dashboard.
Track due dates and deliverables.Schedule meetings for UM projects and/or regulatory audits.
Assist in developing presentations/reports for UM.
Acts as a resource to staff, providers and/or members for UM program information.
Adheres to payroll policies and properly uses a timekeeping system with minimal manual changes.
Maintains regular and consistent attendance.
Adheres to Compliance Plan and HIPAA regulations.
Other duties as assigned to support regulatory compliance.
MARGINAL JOB FUNCTIONS:
Takes on special projects as needed and requested.
Performs other duties as assigned.
BEHAVIORAL EXPECTATIONS:
Continuous Learning
Attends staff meetings as required.
Attends appropriate training, seminars and workshops as required.
Customer Focus:
Maintains client/customer confidentiality and privacy in accordance with HIPPA regulations and IMASs Standards of Conduct.
Fosters appropriate communication and relations with Supervisor, co-workers, and other staff.
Quality/Process Improvement/Safety
Reports issues of security, health and/or safety to appropriate supervisor as soon as practicable.
Supports and demonstrates safety throughout all duties performed.
Follows established policies and procedures and understands and complies with all regulators standards set forth by governing entities.
POSITION REQUIREMENTS:
EDUCATION/EXPERIENCE:
High school graduate or equivalent.
Bachelors Degree or equivalent combination of education and technical experience can substitute in lieu of degree.
SKILLS/KNOWLEDGE/ABILITY:
Excellent planning and organization skills to track competing internal/external priorities.
Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to members and staff.
Willingness and ability to follow written and verbal direction in English.Willingness and ability to maintain appropriate level of confidentiality and privacy.
Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team.
Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.
Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.
Ability to effectively prioritize items/tasks as required.Willingness and ability to take initiative and be a self-starter.
Willingness and ability to understand and comply with Federal, State, and local regulations.
LICENSURE/CERTIFICATE/TRAINING:
n/a
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