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 Blue Shield of CA
...Mine Engineer - Sandersville, GA Summary: Works with Mine Manager, Operations Manager and Division Mining and Geology group to develop effective short to mid term mining sequencing to optimize operations and life of mine. Supports divisional mine planning team...
...velopper et dployer des services automatiss et des APIs.Participer aux processus de dploiement avec des outils CI/CD comme Azure DevOps ou GitHubTravailler sur Microsoft Azure et ses composants lis la plateforme de donnes et lanalytique.Dvelopper vos comp...
Position: Admissions Nurse, RN Full Time Pay: Depending On Experience Are you looking to make meaningful, inviting first impressions for our customers? Come join our team! The admissions nurse position shines with its presentation, knowledge, helpfulness, and understanding...
...clients Build network in person and via phone with key decision makers in a designated territoryQualifications Required No degree requiredPREFERRED QUALIFICATIONS: Preference will be given to candidates who have the following: Goal oriented and ambitious,...
...efforts. Applicants must be authorized to work for any employer in the U.S. We are unable... ...professionals ~$100 towards a work-from-home office setup ~ Evolve in a nice working... ...for this role is $70,000-$90,000 OTE (on-target earnings), with a base salary range of $50...