Compliance Auditor I

4 weeks ago


Rancho Cucamonga, United States CareerBuilder 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
Bachelors 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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