Compliance Audit Analyst jobs in United States
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McLaren Health Care · 21 hours ago

Compliance Audit Analyst

McLaren Health Plan is a Managed Care Organization dedicated to meeting the health care needs of its members. They are seeking a Compliance Audit Analyst responsible for performing compliance audits, supporting the Compliance Program, and analyzing audit outcomes to aid business decisions.

Health CareHospitalMedicalOncologyRehabilitation

Responsibilities

Responsible for identification, analysis, and performance of compliance audits in all lines of business, consistent with State, Federal, and Health Plan policies, regulations, and contractual requirements, not limited to, detect, prevent, and respond to potential instances of non-compliance
Responsible for supporting all aspects of the Compliance Program
Performs quality assurance activities on analytics for all product lines to identify non-compliance with regulations and procedures
Analyzes, reviews, and presents information on audit outcomes to support business decisions

Qualification

Compliance auditingAnalytical skillsHealth care knowledgeStatisticsCommunication skills

Required

Associate Degree in business, health care or related field
Two (2) years of progressively more responsible position using auditing and/or analytical skills

Preferred

Bachelor's Degree in business, health care or related field
Two (2) years of compliance or related experience in health care or related field
Two (2) years' experience and knowledge of HMO, or PPO Course work or work experience in statistics

Company

McLaren Health Care

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McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-01-01Acquired

Leadership Team

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Chris Candela
President and Chief Executive Officer McLaren Flint
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Chad Grant
Executive Vice President & Chief Operating Officer
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