UCLA Health

Description The Departments of Obstetrics & Gynecology, Surgery, and Urology at UCLA seek to hire a Controls and Compliance Auditor. The Controls and Compliance Auditor is an important member of the departmental administrative team, reporting to the Director of Business Analytics & Quality Improvement. In this role you will be the subject-matter expert on UCLA's Distributed Administrative Computing Security System (DACSS) and associated systems. You will also provide oversight and support in the daily operations of internal controls for a variety of accounting cycles including financial reporting, travel and entertainment, and revenue. Pay Range: $78,500.00 - $163,600.00 annually. Please note, the department's target salary for this role is $80,000.00 Qualifications Required: At least 2 years-experience in accounting operations or administrative analysis. Strong analytical skills and the ability to synthesize complex and diverse information....

Job Title Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule: Monday - Friday, 8:00am - 5:00pm PST Salary Range: $40.04 - 52.83 Hourly Employment Type: 2 - Staff: Career Duration: Indefinite

A respected healthcare organization is seeking a Compliance Auditor to support compliance excellence. This role involves conducting crucial audits related to Medicare Advantage and managing regulatory readiness. Candidates should have a bachelor's degree, relevant experience, and certifications for optimal success. Responsibilities include designing audit tools and preparing detailed compliance reports. Join a collaborative team dedicated to upholding high standards of regulatory integrity and operational improvement. Remote working options available. #J-18808-Ljbffr

Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC regulations across the organization. Reporting to the Compliance Manager, MAPD Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and operational improvement. This position calls for a strong foundation in CMS guidelines, managed care compliance, and effective collaboration with both internal teams and external partners. In this role, you will: Conduct compliance audits related to operational functions, vendor performance, data validation, RADV, Triennial Review, pre-delegation reviews, and...

Revenue Cycle Specialist Venice Family Clinic is a leader in providing comprehensive, high-quality primary healthcare to people in need with compassion, dignity, and respect. In November 2021, Venice Family Clinic merged with South Bay Family Health Care, uniting more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who serve 45,000 people from the Santa Monica Mountains through the South Bay. We have 17 locations, plus two mobile clinics, and an extensive street medicine program for individuals experiencing homelessness. Under the direction of the Revenue Cycle Director, this position: Codes, diagnoses, and procedures for a multi-specialty group. In performing the coding requirements, this position is required to utilize knowledge of AHA-Coding Clinic and AMA CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented...