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Added 4 mins ago
Analyst II - Resource Management
TNA Toyota Motor Engineering & Manufacturing North America, Inc. Company
Georgetown, KY
…auditing the Mfg Pillar. This position will report to the CBO…
Added 4 mins ago
JC
Environmental Health Specialist III – Senior Onsite Wastewater Specialist
Jefferson County
United States
- $41 to $42 USD / hour
…insurance, paid time off and holidays, retirement matching, wellness programs, and tuition…
Added 5 mins ago
E
Head of Finance
Ethena
Remote, United States
- $200,000 to $250,000 USD / year
We’re Ethena, an AI platform that’s revolutionizing the Compliance space. Our team of agents helps Compliance leaders run proactive Compliance programs that drive meaningful behavior change.
Added 9 mins ago
JI
Assistant Manager
Jockey International, Inc.
Manchester, VT
- $21 to $24 USD / hour
Jockey is seeking an energetic Assistant Manager to join our team at our Manchester, VT location. As an Assistant Manager for Jockey while working as the Manager on Duty (MOD), you will…
Added 12 mins ago
Registered Nurse New Grad Residency – March 2027 Start
SSH South Shore Hospital, Inc.
Weymouth, MA
Added 13 mins ago
Director of Academic Finance & Strategic Planning
Cornell Univ (NYS Colleges & Exper Sta)
United States
As a people manager and university leader you will model and support a culture of inclusion, belonging, and wellbeing by fostering an environment where everyone has the ability to thrive…
Added 14 mins ago
Web Developers (Front-End)
University of Utah
Salt Lake City, UT
…Libris, Springshare, Primo, and the library’s Digital Asset Manager (Solphal). Responsibilities include implementing responsive, mobile-first design; conducting usability and accessibility…
Added 26 mins ago
Pharmacy Intern
CVS Pharmacy, Inc.
Dorchester, MA
…opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the…
Added 27 mins ago
Operations Manager
Ulta Beauty, Inc.
Baraboo, WI
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 27 mins ago
UB
Operations Manager
Ulta Beauty, Inc.
Sacramento, CA
- $28 to $35 USD / hour
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 37 mins ago
TN
Assistant Manager - Ellis st Apt and Aarti Hotel
TENDERLOIN NEIGHBORHOOD DEVELOPMENT CORPORATION
San Francisco, CA
- $28.44 to $30.95 USD / hour
The Assistant Manager reports to the General Manager and supports them in managing the property's operations, policies, procedures and programs. The Assistant Manager ensures that the…
Added 39 mins ago
SA
Associate Technical Data Manager - DMX
Southwest Airlines Co.
Dallas, TX
- $77,200 to $85,800 USD / year
The Associate Technical Data Manager supports Technical Operations by creating, maintaining, and revising aircraft maintenance technical data that enables safe and compliant operations.…
Added 39 mins ago
A
Part Sales Manager – Full Time
AutoZone
Oak Grove, OR
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
A
Part Sales Manager – Full Time
AutoZone
Portland, OR · Happy Valley, OR
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
Assistant Store Manager
AutoZone
Portland, OR · Happy Valley, OR
As an Assistant Store Manager at AutoZone, you’ll support daily store operations, energize team performance, and drive sales in a fast-paced retail environment. With strong leadership,…
Added 39 mins ago
MANAGER IN TRAINING
AutoZone
Raceland, LA
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
A
Part Sales Manager – Part Time
AutoZone
Rochester, NH
- Part-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
A
Part Sales Manager – Full Time
AutoZone
Rochester, NH
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
Superintendent
Techniplas US LLC dba Nexxta
Dalton, GA
Communicate production status, risks, and customer impacts to the Operations Manager and day-shift leadership.
Added 39 mins ago
A
Part Sales Manager – Full Time
AutoZone
North Hampton, NH
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
A
Part Sales Manager – Part Time
AutoZone
North Hampton, NH
- Part-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
Store Manager
AutoZone
North Hampton, NH
As a Store Manager at AutoZone, you'll lead daily operations and inspire your team to deliver outstanding customer experiences in a high-energy retail environment. This role blends hands-on…
Added 39 mins ago
A
Part Sales Manager – Part Time
AutoZone
Portsmouth, NH
- Part-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
A
Part Sales Manager – Full Time
AutoZone
Danvers, MA
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 39 mins ago
Assistant Store Manager
AutoZone
Lake Orion, MI · Waterford, MI
As an Assistant Store Manager at AutoZone, you’ll support daily store operations, energize team performance, and drive sales in a fast-paced retail environment. With strong leadership,…

Brault

Compliance Manager

San Dimas, CA, United States

$110,000 to $125,000 USD / year

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Job details

Pay: $110,000 to $125,000 USD / year
Posting language: English
Posted: Nov 6, 2026

Original job description

Description Position Summary The Compliance Manager has the responsibility to assure that the Company, its officers and management, its employees, its business associates and, to the extent possible, its clients are informed about and adhere to the letter and intent of applicable government law, regulations, policy and procedures.

Essential Duties and Responsibilities

Primary Responsibilities

Oversees the adherence to the Company’s compliance program using the OIG Compliance Program Guidance for Third-Party Medical Billing Companies as a guide modified to meet the Company’s unique needs.
Assist the General Counsel in implementing a compliance committee within the Company and lead and conduct all meetings.
Establishes methods to improve the Company’s efficiency and quality of services and to reduce the company’s vulnerability to fraud, abuse and waste, and any other potential risks.
Responsible for investigating, reviewing and responding to any and all compliance related issues, concerns and complaints brought to the department from any and all sources, including but not limited to, employees, Federal and State regulatory bodies, health plans and clients.
Reviews all pertinent governmental health plan publications as they are published. Circulate, or arrange for training about, changes or additions relevant to the Company, its industry and its clients.
Periodically revise the compliance program in light of changes in the Company’s needs and in the law and policies and procedures of Government and private payor health plans.
Reviews employees’ certifications and ensures that they have received, read, and understood the standards of conduct.
Develops, coordinates, and participates in a multifaceted educational and training program that focuses on the elements of the compliance program and seeks to ensure that all appropriate employees and management are knowledgeable of, and comply with, pertinent Federal and State standards.
Coordinates personnel issues with the Vice President of Human Resources to ensure that employees do not appear in the Cumulative Sanction Report
Coordinates with the Manager of Provider Enrollment to ensure that providers do not appear in the Cumulative Sanction Report.
Assists the company’s operation managers in coordinating internal compliance review and monitors activities, including annual or periodic reviews of departments.
Independently investigates and acts on matters related to compliance, including the flexibility to design and coordinate internal investigations (e.g. responding to reports of problems or suspected violations) and any resulting corrective action with all billing departments, providers and sub-providers, agents, and, if appropriate, independent contractors.
Develops policies and programs that encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation.

Operational Responsibilities

Process Medicare pre- and post-payment audits
Process patient complaints/disputes that address possible compliance or provider service problems
Consult with Vice President of Strategy and Integrity to research and develop answers to difficult or confusing coding or billing situations to comply with government laws and regulations
Assist, establish and perform an internal reimbursement-coding audit. Provide Leadership with a report of the findings of the internal audit bi-monthly. Track below acceptable error rates (through formal reporting mechanisms) and ensure improvement or outline further steps to be taken in conjunction with the Executive Director of the respective department.
Annually when the revised CPT manual is available, provide lists of pertinent new and deleted CPT codes for use to update current client fee schedules
Assist business associates and internal personnel with trouble-shooting coding issues.
Communicate with payers regarding resolution of prepayment reviews. Review accounts to determine whether the prepayment review has merit, identity methods of resolution, engage any internal personnel needed for resolution.
Provide quarterly compliance trainings regarding new issues or to address deficiencies identified.
Assist with training and trouble-shooting for payment deficiencies.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Requirements

Knowledge, Skills, & Abilities

Excellent organizational skills
Excellent written and oral communication skills
Excellent analytical skills

Education & Experience Requirements

Undergraduate degree in related field preferred
Extensive knowledge of ICD10-CM and CPT coding principles and guidelines
Extensive knowledge of federal regulations and policies pertaining to physician documentation, coding, and billing
4+ years coding experience
3+ years auditing experience
1-2 years supervisory experience
Ability to exercise judgment and propose courses of action where precedent may not exist.
Experience in medical billing and compliance in healthcare preferred.

Supervisory Responsibilities Manages payer appeals specialist.

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More about this job

Skills

Regulatory compliance
Medical billing
Research
Leadership
Auditing
Reporting
CPT
Organizational skills
Communication skills
Analytical skills
Documentation

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