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Rancho Cucamonga

    Compliance Auditor I - Rancho Cucamonga, United States - IEHP

    IEHP
    IEHP Rancho Cucamonga, United States

    2 weeks ago

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    Description
    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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