Compliance Director - Healthcare jobs in Murrieta, CA

Compliance Director - Healthcare designs and implements programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Builds and maintains programs to ensure compliance with federal, state, and local regulations. Being a Compliance Director - Healthcare directs the collection and analysis of data to meet compliance requirements. Requires a bachelor's degree. Additionally, Compliance Director - Healthcare typically reports to top management. The Compliance Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Compliance Director - Healthcare typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Director, Financial Compliance
  • Inland Empire Health Plan
  • Rancho Cucamonga, CA FULL_TIME
  • Overview

    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 Senior Director of Financial Compliance, the Director of Financial Compliance is responsible for leading, directing, and coordinating all auditing and monitoring activities related to financial viability and claims processing requirements. The Director, Financial Compliance is responsible for the oversight and operational activities of the following units: IPA Financial Compliance, Internal Claims Oversight, Delegated Network Claims Oversight, and Overpayment Reconciliation and Reporting, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.

    Additional Benefits

    Perks

     

    IEHP 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

    Qualifications

    Education & Experience

    • A minimum of seven (7) years of experience leading, managing and motivating teams in a managed care environment is required.
    • Five (5) years of experience overseeing claims processing and financial viability audits required.
    • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or other related field from an accredited institution required.
    • In lieu of the required degree, a minimum of eight (8) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.

     

     

    Key Qualifications

    • Must have a valid California Driver's License.
    • Must have knowledge of the principles and practices of managed care as well as Medi-Cal and Medicare programs, regulations, and reporting requirements.
    • Must have knowledge of Generally Accepted Accounting Principles (GAAP) and solid understanding of DMHS, DHCS, and CMS rules governing financial compliance.
    • Strong leadership, sound decision-making and strong organizational skills. 
    • Excellent oral and written communication skills.

     

     

     

     

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Pay Range

    USD $77.38 - USD $119.09 /Hr.
  • 21 Days Ago

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Director, Budgeting and Grant Compliance
  • Chaffey College
  • Rancho Cucamonga, CA FULL_TIME
  • Chaffey College Salary: $11,534.00 Monthly Job Type: Management-Classified Job Number: 23-24/00005 Location: Rancho Cucamonga, CA Department: Business Services Closing: 8/6/2023 11:59 PM Pacific Posit...
  • 1 Day Ago

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Director, Compliance & Risk Management
  • Inland Empire Health Plan
  • Rancho Cucamonga, CA FULL_TIME
  • Overview 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 experien...
  • 1 Month Ago

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Director of Regulatory Compliance
  • Riverside Community Hospital
  • Riverside, CA FULL_TIME
  • This position is incentive eligible. Salary Estimate: $122470.40 - $183726.40 / year Learn more about the benefits offered for this job. The estimate displayed represents the typical salary range of c...
  • 1 Month Ago

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SIU Investigator
  • Allied Universal® Compliance and Investigations
  • Riverside, CA FULL_TIME
  • SIU Investigator Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewardin...
  • 1 Month Ago

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Regional QAPI Director
  • Charter Healthcare
  • Rancho Cucamonga, CA FULL_TIME
  • POSITION SUMMARY The Regional QAPI Director for Hospice Division coordinates and implements clinical strategies and provide leadership development for clinical team members on quality analysis, direct...
  • 7 Days Ago

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0 Compliance Director - Healthcare jobs found in Murrieta, CA area

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Regulatory Compliance Officer
  • Larson Maddox
  • Irvine, CA
  • Our client is actively seeking a motivated Compliance Officer to join our dynamic team located in Irvine, CA. This pivot...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Computer Audit Specialist (CAS) - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Laguna Niguel, CA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Computer Audit Specialist (CAS) - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • San Bernardino, CA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/27/2024 12:00:00 AM

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Examination Technician (12 Month Roster)
  • Department Of The Treasury
  • San Bernardino, CA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNALTIONAL DIVISION? A description of the business units can be found at: http...
  • 3/26/2024 12:00:00 AM

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Senior Accounts Manager
  • AMIHA
  • Temecula, CA
  • Job Description Job Description Senior Accounts Manager Reports to: Executive Director Salary: 90,000- $100,000 DOE Stat...
  • 3/26/2024 12:00:00 AM

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Manufacturing Finance Manager
  • FutureStitch
  • San Clemente, CA
  • **This is a hybrid position that can be anchored in either San Clemente, CA or Oceanside, CA We are seeking a highly ski...
  • 3/26/2024 12:00:00 AM

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AMENDED - Internal Revenue Agent (Tax Computation Specialist - Examiner) 12 MONTH ROSTER
  • Department Of The Treasury
  • Santa Ana, CA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/24/2024 12:00:00 AM

Murrieta is a city in southwestern Riverside County, California, United States. The population of Murrieta was 103,466 at the 2010 census. Murrieta experienced a 133.7% population increase between 2000 and 2010, according to the most recent census, making Murrieta one of the fastest growing cities in the state. This population boom in 2010 surpassed the population of the historically larger and more commercial city of Temecula to the south for the first time since the incorporation of either city. Temecula and Murrieta together form the southwestern anchor of the Inland Empire region. The Murr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Director - Healthcare jobs
$147,058 to $212,265
Murrieta, California area prices
were up 3.0% from a year ago

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