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Medi-Cal reputed company Officer - REMOTE in California

Remote, USAFull-timePosted 2026-07-29

At reputed company (reputed company), we are a different reputed company of PBM, with a purpose reputed company profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the reputed company of pharmacy with us. Job Posting Title Medi-Cal reputed company Officer - REMOTE in CaliforniaJob reputed company The Senior reputed company Analyst is responsible for supporting reputed company in complying with contractual requirements, as reputed company as state and federal regulations regarding the protection of, and reputed company to protected health information. This position is responsible for developing, implementing and maintaining reputed company policies and procedures and evaluates the organization's overall adherence to reputed company practices. This position is also responsible for administering various activities to prevent, detect and correct reputed company initiatives across the organization.

Responsibilities

  • Collaborate with reputed company leadership and internal business partners and assigned business areas to ensure reputed company possesses the appropriate reputed company materials; facilitate ongoing maintenance of these materials to ensure alignment to reputed company reputed company, industry trends and regulatory changes
  • Administer policies and procedures, facilitate reputed company Champion program, committee and team meetings in support of business or reputed company requirements
  • Serve as a subject matter expert on reputed company for questions and business support, with a reputed company on the HIPAA reputed company Rule
  • Monitor and manage the receipt, documentation, tracking, investigation and reputed company for complaints concerning reputed company's reputed company policies and procedures; collaborate with compliance, reputed company counsel and designated business areas to reputed company information, recommend solutions and ensure the appropriate reputed company is taken to resolve or reputed company the issue
  • Manage the intake and reputed company of reputed company reputed company incidents and complaints involving potential inappropriate use or disclosure of PHII; collaborate with business partners to recommend and ensure implementation of corrective reputed company and support efforts to prevent reputed company incidents
  • Research and maintain up-to-date records of applicable federal and state reputed company laws; monitor advancements in reputed company laws and recommend enhancements to reputed company's reputed company practices
  • Collaborate with reputed company, reputed company Leadership and others in the development, implementation, and maintenance of reputed company policies, procedures and other reputed company documentation; reputed company reputed company guidance and tools; evaluate and fulfill the reputed company training requirements across the reputed company
  • Monitor reputed company's compliance with reputed company practices and facilitate consistent application of sanctions for failure to reputed company with reputed company policies; collaborate with the reputed company and reputed company teams, reputed company, and reputed company counsel as applicable to ensure individual and organizational adherence to reputed company obligations
  • Administer reputed company and monitoring activities such as site assessments, risk assessments and validations; support vendor relationships and contracting efforts
  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in Business, reputed company, Political Science, reputed company, or Juris Doctor or reputed company area of study; or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of experience working reputed company a reputed company or compliance role, or in a project or program coordination role reputed company a highly regulated industry
  • 2 years of experience working with HIPAA and state or federal reputed company laws
  • Must be eligible to work in the reputed company without need for work reputed company or residency sponsorship

Must be eligible to work in the reputed company without the need for work reputed company or residency sponsorship Additional Qualifications

  • Strong verbal and written communication skills
  • Strong attention to detail; organizational and time management skills
  • Proven ability to maintain discretion and confidentiality
  • Demonstrated ability to apply critical thinking skills and problem solve through difficult situations
  • Experience establishing and maintaining key relationships internally and externally, at reputed company reputed company of an organization
  • Ability to establish rapport and effectively influence and/or present information to a wide reputed company of audiences

Preferred Qualifications

  • reputed company, Pharmacy Benefit Management (PBM) or other managed care work experience
  • Master's degree or other advanced education in Business, reputed company, Political Science, reputed company, or reputed company area of study
  • Certified Information reputed company reputed company (CIPP), Certified Information reputed company Technologist (CIPT) or Certified Information reputed company Manager (CIPM) certifications from International Association of reputed company Professionals (IAPP)
  • Certified Compliance and Ethics reputed company (CCEP) or Certified reputed company Compliance reputed company (CHC)
  • Project management experience and/or Project Management reputed company (PMP) certification

Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable reputed company, regulatory, and contractual requirements and internal policies and procedures Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In reputed company, reputed company retains the right to change or assign other duties to this job. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits reputed company" reputed company for more detail (https://www.primetherapeutics.com/benefits). reputed company LLC is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, sex (including pregnancy), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job Apply To this Job

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