Compliance Auditor III

3 weeks ago

Rancho Cucamonga, United States Inland Empire Health Plan Full time
  • Find joy in serving others with IEHP
  • We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience
  • The Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program.
  • The Compliance Auditor III is responsible for conducting compliance audits, reporting results, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations.
  • IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
  • Minimum of six (6) years in a managed care operations, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals.
  • Demonstrated understanding of audit standards and requirements, statistical data interpretation and applicability, risk assessment and control environments, audit theory and processes, and of the professional practice standards of internal auditing.
  • Start your journey towards a thriving future with IEHP and apply TODAY

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