Audit and Compliance Analyst responsible for program compliance and policy development within healthcare services teams. Collaborating on auditing, monitoring, and report development regarding Care Management and Utilization Management.
Responsibilities
Handles various elements of program compliance, policy development auditing, monitoring, and report development within the Health Care Services teams including Care Management and Utilization Management
Requirements
Bachelor's Degree in Business Administration, Healthcare Administration, or other related field, or consideration may be given for candidates who have comparable experience in lieu of a bachelor's degree
3 years of demonstrated successful experience working with administrative, policy and/or operational aspects of managed care
Proven track record of assessing program compliance and establishing auditing and monitoring protocols
3 years experience in project management, data analysis and policy and procedure development
Experience with managed care regulatory compliance matters in one or more of the following lines of business (Medicare, Medicaid, Commercial)
1 year experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards
Benefits
Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
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