Compliance Auditor I

3 weeks ago

Rancho Cucamonga, United States IEHP Full time

What you can expect

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

Under the general supervision of the Compliance Audit & Oversight Manager, the Compliance Auditor I conducts and assists with compliance audits and supports initiatives related to the Compliance Audit Program. The Compliance Auditor I is responsible to perform routine audit and monitoring activities of internal health plan departments and external Plan delegates to ensure compliance with Medi-Cal and Medicare regulatory and contractual requirements, and operational plan requirements.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more

* CalPERS retirement
* 457(b) option with a contribution match
* Generous paid time off- vacation, holidays, sick
* State of the art fitness center on-site
* Medical Insurance with Dental and Vision
* Paid life insurance for employees with additional options
* Short-term, and long-term disability options
* Pet care insurance
* Flexible Spending Account - Health Care/Childcare
* Wellness programs that promote a healthy work-life balance
* Career advancement opportunities and professional development
* Competitive salary with annual merit increase
* Team bonus opportunities

Education & Experience

* Minimum of three (3) or more years in 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
* Demonstrates ability to think and work effectively under pressure and accurately prioritize and complete multiple assignments within established timeframes
* One (1) year of public or private industry audit, quality assurance/quality improvement experience, preferably in health care or other highly regulated industry
* Bachelor's degree from an accredited institution required

Key Qualifications

* Possess strong written and verbal communication skills, including a strong business writing aptitude
* Possess strong problem solving and creative thinking skills and the ability to reprioritize workload as needed
* Must be detail oriented, self-directed, and work with minimal supervision, both independently and in teams

Start your journey towards a thriving future with IEHP and apply TODAY

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