Compliance Auditor I - Rancho Cucamonga, United States - Inland Empire Health Plan

Description

Overview:

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

Hybrid