Top 2530 program specialist Jobs in vallejo, ca

Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $93,690.86 - $117,113.58 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Home Health Marketing Rep / Account Specialist (Full-Time/Part-Time)
Mare Island Home Health, Inc. —Contra Costa County, CA
- From $90,000 a year
- Part-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Scribe
Marin Community Clinics —San Rafael, CA
- $25 - $28 an hour
- Full-time
- Spanish
- Vital signs
- English
- Mileage reimbursement
- AD&D insurance
32681 - Special Education School Teacher (SPED) - Vallejo CA
Ro Health —Vallejo, CA
- From $50 an hour
- Part-time
- Classroom
- Working with individuals with disabilities
- English
- Health savings account
- Health insurance
Quick Apply
Youth Program Coach
Playworks —Richmond, CA
- Multiple hires
- Background check
- CPR Certification
- Current TB test
- Health savings account
- Disability insurance
Quick Apply
Child Development Specialist
Sunny Days —Vallejo, CA
- $45 - $55 an hour
- Choose your own hours
- Mid-level
- Children
- Health insurance
- Dental insurance
Quick Apply
14d
Asset Protection Specialist
Home Depot —Vallejo, CA
- $23 an hour
- Mid-level
Community Manager - Harbor Park
Greystar Real Estate Partners LLC —Vallejo, CA
- $100,000 - $115,000 a year
- Email
- Sales
- Word processing
- Mid-level
- Paid parental leave
- Paid holidays
8d
Program Coordinator I
Abode Services —Vallejo, CA
- $33.65 - $37.02 an hour
- Weekends as needed
- Clean driving record
- Mid-level
- Analysis skills
- Dental insurance
- Flexible spending account
Quick Apply
Speech Language Pathologist (SLP) - Per Diem
ANX Home Healthcare & Hospice Care —San Francisco, CA
- $55 - $60 an hour
- Per diem
- CPR Certification
- BLS Certification
- Mid-level
- Employee discount
- Paid sick time
Quick Apply
Family Nurse Practitioner
Marin Community Clinics —Novato, CA
- $144,632 - $169,742 a year
- Full-time
- Spanish
- Nursing
- Management
- Mileage reimbursement
- AD&D insurance
Part-Time 8th Grade Math Teacher - Algebra & Geometry
Mark Day School —San Rafael, CA
- $22,500 - $47,400 a year
- Part-time
- Classroom
- High school
- Bachelor's degree
Quick Apply
K-2 Music Teacher
Mark Day School —San Rafael, CA
- $27.51 - $33.13 an hour
- Part-time
- School experience
- Classroom
- Mid-level
Quick Apply
2d
Urgent Care Nurse Practitioner or Physician Assistant
Carbon Health Technologies Inc —Corte Madera, CA
- $109,067 - $174,564 a year
- Weekends as needed
- RN License
- BLS Certification
- Urgent Care
- Disability insurance
- Health insurance
Quick Apply
Mechanical Specialist
Linde —Pittsburg, CA
- $93,150 - $136,620 a year
- Full-time
- Background check
- 5 years
- Computer literacy
- Health savings account
- Paid holidays
Quick Apply
Counselor
Center Point, Inc —San Rafael, CA
- $27 - $33 an hour
- Full-time
- Background check
- Clean driving record
- Current TB test
Quick Apply
Physical Therapist (PT) - $15k Sign on Bonus
Concentra —Oakland, CA
- $90,000 - $115,000 a year
- Full-time
- Bachelor of Science
- Physical & Rehabilitation Medicine
- Mid-level
- Continuing education credits
- Commuter assistance
Quick Apply
3d
Mental Health Specialist
Child Start Inc. —Napa, CA
- $39.67 an hour
- 8 hour shift
- Bilingual
- LMFT
- Classroom
- Health savings account
- Health insurance
Quick Apply
Physical Therapist (PT) - $20k Sign on Bonus
Concentra —Richmond, CA
- $90,000 - $115,000 a year
- Full-time
- Bachelor of Science
- Physical & Rehabilitation Medicine
- Mid-level
- Continuing education credits
- Commuter assistance
Quick Apply
3d
26-27 Education Specialist-Mild-Moderate Support Needs Bilingual (Spanish & English) - Certificated
Voices College-Bound Language Academies —Richmond, CA
- $64,446 - $97,299 a year
- Full-time
- Microsoft Word
- Background check
- School experience
- Health insurance
- Dental insurance
Quick Apply

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program specialist jobs near vallejo, ca

Compliance Investigator II

Partnership HealthPlan of California -
Fairfield, CA

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Job Details

Full-time
$93,690.86 - $117,113.58 a year

Qualifications

Computer operation
Healthcare fraud investigations
Driver's License
NCQA standards
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.

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

program specialist jobs in vallejo, ca

Compliance Investigator II

Home Health Marketing Rep / Account Specialist (Full-Time/Part-Time)

Medical Scribe

32681 - Special Education School Teacher (SPED) - Vallejo CA

Youth Program Coach

Child Development Specialist

Asset Protection Specialist

Community Manager - Harbor Park

Program Coordinator I

Speech Language Pathologist (SLP) - Per Diem

Family Nurse Practitioner

Part-Time 8th Grade Math Teacher - Algebra & Geometry

K-2 Music Teacher

Urgent Care Nurse Practitioner or Physician Assistant

Mechanical Specialist

Counselor

Physical Therapist (PT) - $15k Sign on Bonus

Mental Health Specialist

Physical Therapist (PT) - $20k Sign on Bonus

26-27 Education Specialist-Mild-Moderate Support Needs Bilingual (Spanish & English) - Certificated

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