Top 254 Quality systems specialist Jobs in Vacaville Ca

Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $96,970.04 - $121,212.56 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Learning Systems Specialist
Northbay Healthcare —Fairfield, CA
- $36.29 an hour
- Full-time
- Hybrid work
- Word processing
- Writing skills
- Research
- 403(b) matching
- Health insurance
FIELD ARCHAEOLOGISTS - (Southern California)
SummitWest Environmental —California
- $27 - $32 an hour
- Part-time
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Crop Insurance Specialist
Wraith Scarlett & Randolph —Woodland, CA
- $65,000 - $85,000 a year
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Podiatrist (DPM)
Tri State Community Healthcare Center —California
- $750 - $1,000 a day
- Full-time
- Bilingual
- Doctoral degree
- BLS Certification
- Relocation assistance
- Health insurance
Quick Apply
Electronics Application Development Engineer
Nordson —California
- $101,700 - $152,600 a year
- Online Application
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Regional Curriculum & Instruction Specialist
Spectrum Center Schools and Programs —Solano County, CA
- $85,000 - $95,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Wellness program
- Health savings account
Quick Apply
Physician, Urgent Care - Green Valley (Full Time)
Northbay Healthcare —Fairfield, CA
- $354,000 a year
- Full-time
- Medicine
- Urgent Care
- Outpatient experience
Family Nurse Practitioner - Primary Care
MAD RIVER COMMUNITY HOSPITAL —California
- $133,000 - $170,000 a year
- Part-time
- Background check
- Pass drug screening
- Primary Care
- Relocation assistance
- Health insurance
Quick Apply
Project Specialist, Telecom
TAK Broadband —Fairfield, CA
- $70,000 - $75,000 a year
- Full-time
- Background check
- Bachelor of Science
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
9d
Physician, Primary Care (Full Time, Float)
Northbay Healthcare —Fairfield, CA
- $489,000 a year
- Full-time
- Hybrid work
- Medicine
- Management
- Float pool
- 403(b) matching
- Relocation assistance
Remote Acute Care Psychiatrist
Array Behavioral Care —California
- $150 - $195 an hour
- Full-time
- Remote
- Psychiatry
- BC/BE
- Windows
- Health savings account
- Disability insurance
Quick Apply
Mechanical Specialist
Linde —Pittsburg, CA
- $93,150 - $136,620 a year
- Full-time
- 5 years
- Computer literacy
- Office
- Health savings account
- Paid holidays
Quick Apply
1d
Maintenance Services Lead - Salt Area
K2 Pure Solutions LP —Pittsburg, CA
- $42.40 - $47.50 an hour
- Full-time
- High school
- 5 years
- Bachelor of Science
Quick Apply
10d
Prevention and Early Intervention Program Manager
Mentis —Napa, CA
- $85,000 - $90,000 a year
- Weekends as needed
- School experience
- LMFT
- Spanish
- Health insurance
- Dental insurance
Quick Apply
9d
UM Licensed Vocational Nurse (REMOTE)
Medica Talent Group —California
- $33 - $46 an hour
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- LVN
Quick Apply
Coatings & Restoration Specialist
Polyglass USA, Inc. —California
- Full-time
- 7 years
- Product management
- Travel
- Paid holidays
- Health insurance
Travel, Purchasing and Material Management Specialist (BLANK AST 3)
University of California, Davis —Davis, CA
- $29.40 - $42.14 an hour
- Full-time
- Background check
- Word processing
- Urgent Care
- Continuing education credits
- Paid holidays
10d
Regional QA/QC Specialist
Babcock & Wilcox Company —Napa, CA
- Construction site
- Recruiting
- Senior level
Grower
Gotham Greens —Davis, CA
- $80,000 - $95,000 a year
- 5 years
- Computer literacy
- Master's degree
Quick Apply

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quality systems specialist jobs near vacaville ca

Compliance Investigator II

Partnership HealthPlan of California -
Fairfield, CA

Apply Now

Job Details

Full-time
$96,970.04 - $121,212.56 a year

Qualifications

Computer operation
Healthcare fraud investigations
Driver's License
Desktop applications
Typing
Productivity software
Microsoft Project

Full Job Description

Overview:

The Regulatory Affairs Specialist II has demonstrated competencies in supporting the plan-wide regulatory affairs and compliance program, including activities related to HIPAA and Fraud, Waste, and Abuse (FWA). Under supervision and direction of the Regulatory Affairs Manager, monitors daily Regulatory Affair unit’s operations to ensure the timeliness of deliverables and all case management performance metrics are met, performs internal auditing of all privacy and FWA cases to ensure they meet DHCS requirements and Partnership professional standards. Also provides support to the Regulatory Affairs Specialist (RAS), directs complex regulatory inquiries and responses to regulatory agencies.

Responsibilities:

Proficiently performs all duties of the Regulatory Specialist, independently.
Operates independently, exercising judgement, and providing support and guidance to Regulatory Affairs and Compliance (RAC) staff
Encourages continuous awareness and education of unit staff, which may include development and maintenance of training materials
Creates and monitors daily operational reports to ensure the timely submission of privacy and FWA cases to DHCS
Manages the intake and ongoing maintenance of referral/inquiry platform
Ability to assess, facilitate, and see to completion, referrals and inquiries, of varying complexity and scope, submitted to RAC
Monitors unit trackers to ensure the timeliness of deliverablesare met, making recommendation for improvements in tracking and/or work flows as necessary
Ability to direct unit work, which may include leading unit meetings/discussions and assessment of work outcomes
Competent in assessing and analyzing unit work consistent with established criteria and providing education/training to unit staff as needed
Maintains awareness and understanding of regulatory requirements that govern unit responsibilities
Makes strategic recommendation(s) to improve the accuracy, quality, and/or reporting of case investigations based on audit observations in order to enhance HIPAA and FWA case management performance
Leads or participates in Regulatory Affairs unit projects and has the capacity to represent unit in cross-departmental projects
Assists Regulatory Affairs Manager with developing and maintaining compliance training program including but not limited to:
- Updating new hire compliance trainings and annual training materials
- Conducting targeted department trainings
- Acts as a trainer for the Regulatory Affairs unit
- Backup trainer for new hire trainings or other department trainings
Works with departments on resolving complex regulatory required submissions
Assists Regulatory Affairs Manager with duties related to chairing the PTAS and FWA Subcommittees

Secondary Duties and Responsibilities

Supports regulatory submission process including awareness of deliverables, ad hoc and routine, and completeness and timeliness of submissions
Assists Regulatory Affairs and Compliance unit with the administrative functions to support unit meetings, workgroups, projects and external audits
Other duties as assigned

Qualifications:

Education and Experience

Bachelor’s degree in relevant field preferred or equivalent combination of education and experience; minimum of two (2) years’ experience as a Regulatory Affairs Specialist or relevant experience in managed care with knowledge of the Medi-Cal, and NCQA requirements, and preferably Medicare and Knox Keene. Experience with the investigation and reporting of HIPAA and FWA related incidents.

Special Skills, Licenses and Certifications

Highly proficient in applicable business software applications including PC usage, Microsoft Word, PowerPoint, Excel, Project, typing speed of 30 wpm. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business

Performance Based Competencies

Excellent oral and written communication skills. Excellent organizational skills with ability to prioritize assignments, maintain effective filing systems, and meet deadlines. Ability to work under minimal supervision and exercise independent judgment. Diplomacy and tact in handling sensitive information regarding personnel affairs as required. Ability to interact with executives and vendors effectively, handling all assignments with efficiency. Must be able to handle multiple tasks and meet deadlines. Excellent judgment.

Work Environment And Physical Demands

Ability to use a computer keyboard and other business machines. More than 50% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying sizes, weighing up to 35 pounds.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$96,970.04 - $121,212.56

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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Refine Your Search

quality systems specialist jobs in vacaville ca

Compliance Investigator II

Learning Systems Specialist

FIELD ARCHAEOLOGISTS - (Southern California)

Crop Insurance Specialist

Podiatrist (DPM)

Electronics Application Development Engineer

Regional Curriculum & Instruction Specialist

Physician, Urgent Care - Green Valley (Full Time)

Family Nurse Practitioner - Primary Care

Project Specialist, Telecom

Physician, Primary Care (Full Time, Float)

Remote Acute Care Psychiatrist

Mechanical Specialist

Maintenance Services Lead - Salt Area

Prevention and Early Intervention Program Manager

UM Licensed Vocational Nurse (REMOTE)

Coatings & Restoration Specialist

Travel, Purchasing and Material Management Specialist (BLANK AST 3)

Regional QA/QC Specialist

Grower

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