Offer summary

Qualifications:

Bachelor's degree or equivalent work experience in a managed care setting., At least 5 years of experience in internal claims auditing or similar roles., Minimum 3 years of supervisory experience., Strong understanding of Federal and State regulations related to healthcare claims..

Key responsibilities:

Develop and implement internal compliance monitoring and audit plans.

Conduct internal audits and manage remediation plans for compliance issues.

Guide external audit activities and facilitate readiness efforts.

Collaborate with internal teams to ensure adherence to industry standards.

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Supervisor, Claims Compliance role will be responsible for the development and implementation of internal Compliance monitoring and audit plans, conducting internal audits and projects related to targeted business functions and processes in order to protect the integrity and reputation of AltaMed. Monitoring and auditing activity will include ensuring compliance with Federal and State regulations, internal controls, formalizing and managing remediation plans to resolve compliance issues, and control improvements. The auditor will also be responsible for guiding external audit activity, including facilitating readiness efforts. This position works closely with internal business operations to assist in the successful execution of compliance audit plans and industry standards.

Minimum Requirements

Bachelor’s degree or equivalent work experience in a managed care setting.
Minimum 5 years of experience with internal claims auditing, claims examiner, or equivalent position required.
Minimum 3 years of Supervisory experience required.

Compensation

$90,538.24 - $113,172.80 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

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