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Healthcare manager Jobs in Rancho Cucamonga, CA

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Healthcare manager • rancho cucamonga ca

Last updated: 4 days ago

Healthcare Compliance Specialist

Alura Workforce SolutionsRancho Cucamonga, CA, United States
Temporary

Special Investigations Unit Specialist.Position Type: Temporary Schedule: Hybrid; M-F, 8:00 am - 5:00 pm; Mon & Fri - WFH, Tue-Thur - Onsite Assignment Length: Approximately 6-Months, possibly long... Show more

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California

TTECFontana, California
$22.65 hourly
Remote
Full-time

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California.Your potential has a place here with TTEC’s award winning employment experience.Mandarin-English Bilingu... Show more

 • Promoted

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California

TTECRancho Cucamonga, California
$22.65 hourly
Remote
Full-time

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California.Your potential has a place here with TTEC’s award winning employment experience.Mandarin-English Bilingu... Show more

 • Promoted

Healthcare Foreman

TRL Systems, IncRancho Cucamonga, CA, US
Full-time

Position Summary The Healthcare Foreman is responsible for the management of the team performing the onsite installation of nurse call, security and fire life safety systems within Healthcare facil... Show more

Remote Healthcare Recruitment Executive

MLee Healthcare Staffing and Recruiting, IncFontana, CA, United States
Full-time

Remote Healthcare Recruitment Executive.Chart Your Path as a Healthcare Recruitment Executive Empower Lives and Build Careers from Anywhere.Imagine transforming your professional life into a meani... Show more

Manager

Dunkin' - Franchisee Of Dunkin DonutsRancho Cucamonga, CA
$26.50 hourly
Full-time

In 1950, Bill Rosenberg opened the first Dunkin' shop in Quincy, Massachusetts.Dunkin' licensed the first of many franchises in 1955.It is now the world's leading baked goods and coffee chain, serv... Show more

Visiting Angels Caregivers Needed - Hiring ASAP Home Healthcare

Visiting Angels of ChinoChino, CA, US
$19.00–$21.00 hourly
Part-time

We are looking for compassionate and dedicated caregivers to join Visiting Angels of Chino.As a caregiver, you will have the opportunity to make a meaningful impact on the lives of our clients and ... Show more

Manager

Elvira's Finest Foods of MexicoClaremont, CA, US
Full-time

Manager - Elvira's Finest Foods of Mexico.Are you a highly skilled and motivated individual with a passion for traditional Mexican cuisine? Do you thrive in a dynamic and fast-paced environment? If... Show more

Manager

Dunkin'Ontario, CA, United States
Full-time

As a Dunkin' franchisee, we are committed to our employees as much as we are committed to our customers.We value hardworking and enthusiastic employees and we make it a priority to ensure their suc... Show more

Mission Healthcare: General Application (Ontario)

Mission HealthcareOntario, CA, United States
Full-time

Mission Healthcare Ontario General Application.Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States.We have a critical missionto ... Show more

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California

TTECOntario, California
$22.65 hourly
Remote
Full-time

Mandarin-English Bilingual Healthcare Customer Service Representative - Remote in California.Your potential has a place here with TTEC’s award winning employment experience.Mandarin-English Bilingu... Show more

 • Promoted

Healthcare Administration - Entry Level Training Program

Dreambound Inc.Montclair, California, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Visiting Angels Caregivers Needed - Hiring ASAP Home Healthcare

HCAOAChino, CA, United States
$19.00–$21.00 hourly
Full-time

We are looking for compassionate and dedicated caregivers to join Visiting Angels of Chino.As a caregiver, you will have the opportunity to make a meaningful impact on the lives of our clients and ... Show more

Store Manager

Panda Restaurant GroupFontana, CA, US
$29.50 hourly
Full-time

Are You Craving A Career With An Industry Leader?.Panda Express is searching for experienced leaders to join our store management team.Panda is 100% committed to the professional and personal devel... Show more

Healthcare Foreman

Prime PartnersRancho Cucamonga, California, United States
Full-time
Quick Apply

We are hiring a Healthcare Foreman to lead field installation crews on active healthcare projects in and around Rancho Cucamonga, California.This is a hands-on leadership role running the install o... Show more

Manager

IHOPOntario, CA, US
Full-time

Prior management experience in a similar organization.College graduate with a two or four year degree in Hotel/Restaurant, Management, Business or associated field, who is entering the full time wo... Show more

Assistant Manager

Jack in the Box Corp.Chino, CA, US
$10.00 hourly
Full-time

Great employees deserve great benefits!.Paid vacation 3 weeks per year.Medical, dental, vision, and life and disability plans.Sick time and company holidays.Leave programs for qualifying events.Eli... Show more

Assistant Manager

Applebee'sMontclair, CA, US
$20.98 hourly
Full-time

Flynn Group, founded by Greg Flynn started its journey with the acquisition of 8 Applebee’s in 1999.Over the next two decades we grew by building new stores and acquiring other franchise operators ... Show more

General Manager

Pizza HutOntario, CA, US
Full-time

That’s why people come to Pizza Hut.It’s the calling of our Restaurant General Managers to make them feel like family with smiles, teamwork and dedication.If you’re an experienced restaurant or ret... Show more

Blood Bank Manager / IRL Manager / Immunohematology Reference Lab Manager

K.A. RecruitingClaremont, CA, United States
Full-time

We have an exciting opportunity for a Blood Bank Manager at a large IRL in eastern Los Angeles County, California.As a key leader in the laboratory environment, this role offers the chance to overs... Show more

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Healthcare Compliance Specialist

Healthcare Compliance Specialist

Alura Workforce SolutionsRancho Cucamonga, CA, United States
5 days ago
Job type
  • Temporary
Job description

Special Investigations Unit Specialist

Position Type: Temporary Schedule: Hybrid; M-F, 8:00 am - 5:00 pm; Mon & Fri - WFH, Tue-Thur - Onsite Assignment Length: Approximately 6-Months, possibly longer.

The Special Investigations Unit (SIU) Specialist is responsible for the intake, initial assessment and coordination of Fraud, Waste, and Abuse (FWA) referrals within the SIU. This role plays a critical part in the early stages of case management, including the documentation, initial analysis, and prioritization of FWA issues according to risk and potential impact. The Specialist organizes, analyzes, and reports referral data, and utilizes the Plan's case management application and FWA analytics tools to support the SIU in proactive FWA detection.

Key Responsibilities:

  • Oversee the intake process for all FWA referrals, conduct preliminary assessments, and determine the urgency and potential impact of each referral to prioritize further actions.
  • Triage, manage, and track referrals using the case management and FWA analytics application, ensuring case data integrity throughout the intake process. Utilize advanced Microsoft Excel tools (e.g., pivot tables, Power Query, conditional formatting, formulas, macros) to organize and analyze referral data, generate reports, and support trend identification.
  • Conduct preliminary investigations by gathering necessary data, conducting initial analyses, and preparing reports for SIU Investigators. Escalate high-risk or complex issues to appropriate SIU staff or management.
  • Collaborate with Compliance Analysts and Investigators to support case triaging and handoff through the FWA analytics and detection application.
  • Maintain accurate and comprehensive records of all FWA referrals in SIU's case management system for audit and legal purposes.
  • Identify and recommend improvements in intake processes to enhance the efficiency and effectiveness of the SIU.
  • Create and maintain standard work specific to workflows and procedures relevant to the role.
  • Keep abreast with Federal and State regulatory requirements and respond timely to resolve issues.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Requirements:

  • Minimum of three (3) years of experience in a healthcare environment
  • Experience preferably in managed care
  • Strong preference for experience in fraud investigations or compliance
  • High School diploma or GED required
  • Associate degree or bachelor's degree from an accredited institution preferred
  • Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), or similar certification related to healthcare fraud, coding, and billing is preferred

Key Qualifications:

  • Knowledge of managed care industry operations, practices, and standards and compliance program practices and elements preferred
  • Demonstrated proficiency in Microsoft Office products (Word, Excel, PowerPoint, Outlook, etc.) per proficiency testing.
  • Intermediate to advanced proficiency in Microsoft Excel is required
  • Experience with Healthcare Fraud Shield (HCFS) or similar case management platforms is highly desirable
  • Excellent interpersonal skills. Effective communication skills; verbal and written.
  • Strong analytical skills
  • Proven ability to work independently and as part of a team in a high-stakes environment
  • Ability to manage multiple cases and projects with competing deadlines
  • Excellent interpersonal and communication skills, capable of working effectively across various departments and with external partners
  • Detail-oriented
  • Strong commitment to integrity and ethical decision-making