5 days ago
πΊπΈ United States β Remote
π΅ $54k - $97.1k / year
β° Full Time
βͺοΈ Entry-level
π’ Junior
π Auditor
β’ Perform operational and compliance risk based audits for the health plan β’ Develop schedule and perform health plan audits and specialty care company (subcontractor) audits for either federal or state managed care programs β’ Evaluate processes and performance through audits for scalability, effectiveness, efficiency, and risk mitigation β’ Provide written audit documentation regarding state and/or federal managed care programs and process audit observations β’ Review and analyze responses to audit observations and findings and facilitate corrective action plans β’ Facilitate Health Plan and specialty care company (subcontractor) compliance through corrective action process β’ Identify, develop and implement corrective actions and training materials to improve program performance based on audit outcomes β’ Provide education and training to internal and external entities as needed on programs, compliance, and fraud, waste and abuse
β’ Bachelor's degree in Business, Accounting, Finance, Healthcare or equivalent experience β’ 2+ years of compliance experience, preferably with State or Federal managed care programs
β’ competitive pay β’ health insurance β’ 401K and stock purchase plans β’ tuition reimbursement β’ paid time off plus holidays β’ flexible approach to work with remote, hybrid, field or office work schedules
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πΊπΈ United States β Remote
π° Venture Round on 2016-12
β° Full Time
βͺοΈ Entry-level
π Auditor
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