Top 578 Program 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
Service to the Armed Forces (SAF) Specialist, Mobile
American National Red Cross —Fairfield, CA
- $64,900 - $69,000 a year
- Full-time
- 5 years
- Writing skills
- Public speaking
- Paid holidays
- Relocation assistance
Information Technology/Assurance (IT/IA) Specialist III
General Dynamics Information Technology —Fairfield, CA
- $108,630 - $146,970 a year
- Ability to lift 50 pounds
- Experience equivalent to degree accepted
- Senior level
Funding Specialist
Travis Credit Union —Vacaville, CA
- $23.49 - $29.01 an hour
- Customer service
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
8d
EHS Specialist
Toray Advanced Composites USA,Inc —Fairfield, CA
- $35 - $47 an hour
- Full-time
- English
- High school diploma or GED
- Ability to lift 50 pounds
Quick Apply
Human Services Program Specialist (PUBL EDUC SPEC 4)
University of California, Davis —Davis, CA
- $77,100 - $139,900 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Writing skills
- Continuing education credits
- Paid holidays
14d
Authorization Specialist/ UM Trainer
Partnership HealthPlan of California —Fairfield, CA
- $36.00 - $45.01 an hour
- Mid-level
- Office
- Driver's License
Training Specialist
Partnership HealthPlan of California —Fairfield, CA
- $88,154.59 - $110,193.23 a year
- Full-time
- Computer literacy
- Research
- Mid-level
- Wellness program
Asset Protection Specialist
Home Depot —Vacaville, CA
- $23 an hour
- Mid-level
Onsite Medical Representative
Amazon.com Services LLC —Vacaville, CA
- $26 - $31 an hour
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- AD&D insurance
- Health insurance
Program Specialist (PUBL EDUC SPEC 4)
University of California, Davis —Davis, CA
- $77,100 - $139,900 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Customer service
- Continuing education credits
- Paid holidays
Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Community Specialist
Oak and Cedar —Vacaville, CA
- $18 - $25 an hour
- Part-time
- 18 years or older
- CPR Certification
- Driver's License
- Paid training
- Health insurance
Quick Apply
Employment Resources Specialist II
County of Solano —Fairfield, CA
- $75,139.13 - $91,332.08 a year
- Email
- High school diploma or GED
- Military encouraged
- Entry level
- Health insurance
- Dental insurance
Associate Patient Services Specialist
Providence —Napa, CA
- $28.97 - $36.55 an hour
- 8 hour shift
- Hospital
- Fair chance
- 1 year
- Paid parental leave
- Paid holidays
Clinical Services Associate
County of Solano —Fairfield, CA
- $89,063.58 - $108,257.34 a year
- Email
- Addiction Medicine
- Experience working with individuals with disabilities
- No experience needed
- Health insurance
- Dental insurance
SENIOR PERSONNEL SPECIALIST
California Medical Facility —Solano County, CA
- $5,663 - $7,097 a month
- Full-time
- Hospital
- Fingerprint clearance
- Senior level
- Free parking
10d
Environmental Health Specialist (Entry/Journey) DOQ
County of Solano —Fairfield, CA
- $6,094.40 - $9,011.20 a month
- Email
- No experience needed
- Bachelor's degree
- Military encouraged
- Health insurance
- Dental insurance
2h
Part-time Newborn Hearing Screener
Infant Hearing Screening Specialists —Vacaville, CA
- $23 - $25 an hour
- Part-time
- CPR Certification
- Current TB test
- Hospital
Quick Apply
3d
Care Coordinator - Davita IKC - Sacramento
DAVITA —Fairfield, CA
- $25.00 - $28.50 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- Health insurance
- Dental insurance
9d

I want to receive the latest job alert for program specialist in vacaville, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

program specialist jobs near vacaville, ca

Program Specialist jobs in Davis, CA

Medical Representative jobs in Vacaville, CA

Care Coordinator jobs in Fairfield, CA

Program Specialist jobs in Waco, TX

Nurse Residency Program Er jobs in Texas

Electrical Apprenticeship Program jobs in Fresno, CA

Program Specialist jobs in Kansas City, MO

Child Life Specialist jobs in San Jose, CA

Program Specialist jobs in New Caney, TX

Rn Fellowship Program jobs in Manhattan, NY

Program Specialist jobs in Laurinburg, NC

Community Support Specialist jobs in Maine

Work From Home Technical Support jobs in South Carolina

Community Support Specialist jobs in Corona, CA

Direct Support Dsp jobs in Maryland

Community Support Specialist jobs in Clarksville, TN

Community Support Specialist jobs in Montpelier, VT

Clinical Associate jobs in Saint Paul, MN

Clinical Associate jobs in Buffalo, NY

Associate Marriage Family Therapist jobs in Santa Barbara, 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.

Apply Now

Refine Your Search

program specialist jobs in vacaville, ca

Compliance Investigator II

Service to the Armed Forces (SAF) Specialist, Mobile

Information Technology/Assurance (IT/IA) Specialist III

Funding Specialist

EHS Specialist

Human Services Program Specialist (PUBL EDUC SPEC 4)

Authorization Specialist/ UM Trainer

Training Specialist

Asset Protection Specialist

Onsite Medical Representative

Program Specialist (PUBL EDUC SPEC 4)

Claims Resolution Coordinator

Community Specialist

Employment Resources Specialist II

Associate Patient Services Specialist

Clinical Services Associate

SENIOR PERSONNEL SPECIALIST

Environmental Health Specialist (Entry/Journey) DOQ

Part-time Newborn Hearing Screener

Care Coordinator - Davita IKC - Sacramento

I want to receive the latest job alert for program specialist in vacaville, ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected