McLaren Health Care · 16 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
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
McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.
Funding
Current Stage
Late StageTotal Funding
unknown2021-01-01Acquired
Leadership Team
Recent News
2025-11-10
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