Top 320 Investigator Jobs in Novato Ca

Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $96,970.04 - $121,212.56 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Private Investigator
DigiStream Investigations —San Quentin, CA
- $50,000 - $65,000 a year
- Overtime
- Background check
- Writing skills
- Mid-level
- Travel reimbursement
- Health insurance
12d
EEO Manager
County of Sonoma —Santa Rosa, CA
- $137,854.28 - $167,553.99 a year
- Full-time
- Writing skills
- Pass drug screening
- Mid-level
- Paid parental leave
- Health savings account
4d
Private Investigator
DigiStream Investigations —Novato, CA
- $50,000 - $65,000 a year
- Overtime
- Background check
- Writing skills
- Mid-level
- Travel reimbursement
- Health insurance
12d
Security Specialist
Gavin de Becker & Associates —Petaluma, CA
- $90,000 - $110,000 a year
- Background check
- Military
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Private Investigator
DigiStream Investigations —Petaluma, CA
- $50,000 - $65,000 a year
- Overtime
- Background check
- Writing skills
- Mid-level
- Travel reimbursement
- Health insurance
12d
Threat Investigator
Discord —San Francisco Bay Area, CA
- $132,000 - $148,500 a year
- Full-time
- 5 years
- Senior level
- Communication skills
- Relocation assistance
Risk Investigations Specialist - Trust & Safety
Control Risks —San Francisco, CA
- $100,000 - $110,000 a year
- Weekends as needed
- Remote
- SQL
- US work authorization
- Organizational skills
- AD&D insurance
- Health insurance
Quick Apply
Investigations Security Specialist
Citizens Financial Group —San Francisco, CA
- $70,000 - $120,000 a year
- Full-time
- Background check
- 5 years
- Research
- Health insurance
- Dental insurance
Human Rights Commission Investigator – Agency for Human Rights (2996)
City and County of San Francisco —San Francisco, CA
- $112,450 - $136,630 a year
- Online Application
- Hybrid work
- Bachelor's degree
- Military encouraged
- Fair chance
- Continuing education credits
2d
Investigations Coordinator
University of California San Francisco —San Francisco, CA
- Full-time
- Mid-level
- 3 years
- University
Communications Dispatcher I
City of Richmond, CA —Richmond, CA
- $6,570.50 - $7,986.48 a month
- Full-time
- English
- US work authorization
- Pre-employment physical examination
- Paid parental leave
- Paid holidays
Threat Intel Manager, Influence Operations & Surveillance
Anthropic —San Francisco, CA
- $375,000 - $455,000 a year
- Weekends as needed
- Hybrid work
- Management
- Office
- SQL
- Parental leave
- Flexible schedule
Surveillance Investigator
Lemieux & Associates LLC —Vallejo, CA
- $25 - $35 an hour
- Full-time
- Bilingual
- Microsoft Word
- Computer literacy
- Flexible schedule
Quick Apply
Senior Investigator & Legal Analyst - SF Ethics Commission (TEX 1823)
City and County of San Francisco —San Francisco, CA
- $126,126 - $153,296 a year
- Online Application
- Hybrid work
- Office
- Master's degree
- Bachelor's degree
3d
ORSP Administrative Analyst, Administrative Analyst/Specialist, Non-Exempt, Part time, Hourly, Temporary
Sonoma State University —Rohnert Park, CA
- $27.69 - $40.34 an hour
- Part-time
- Background check
- Microsoft Excel
- Research
Field Investigator (FT & PT) – San Francisco/Oakland/Sacramento
Origin Investigations Inc —San Francisco, CA
- $25 - $40 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
8d
Assistant Animal Technician, Fish Speciation Lab (9603C) #87678
University of California Berkeley —Berkeley, CA
- $27.53 - $32.48 an hour
- Part-time
- Computer literacy
- University
- Data entry
Safety Advisor
University of California San Francisco —San Francisco, CA
- 3 years
- University
- Bachelor's degree
Staff Research Associate 1 (9613C), Helen Wills Neuroscience Institute #86040
University of California Berkeley —Berkeley, CA
- $28.69 - $29.36 an hour
- Full-time
- Mid-level
- University
- Neurology

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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.

Apply Now

Refine Your Search

investigator jobs in novato ca

Compliance Investigator II

Private Investigator

EEO Manager

Private Investigator

Security Specialist

Private Investigator

Threat Investigator

Risk Investigations Specialist - Trust & Safety

Investigations Security Specialist

Human Rights Commission Investigator – Agency for Human Rights (2996)

Investigations Coordinator

Communications Dispatcher I

Threat Intel Manager, Influence Operations & Surveillance

Surveillance Investigator

Senior Investigator & Legal Analyst - SF Ethics Commission (TEX 1823)

ORSP Administrative Analyst, Administrative Analyst/Specialist, Non-Exempt, Part time, Hourly, Temporary

Field Investigator (FT & PT) – San Francisco/Oakland/Sacramento

Assistant Animal Technician, Fish Speciation Lab (9603C) #87678

Safety Advisor

Staff Research Associate 1 (9613C), Helen Wills Neuroscience Institute #86040

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