Auditor, Delegate Claims

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform audits in alignment with regulatory, contractual, and industry standards

• Ensure the effectiveness of Corrective Actions

• Communicate audit findings to enhance organizational awareness

• Oversee multiple audits and related projects concurrently

⛳️ Requirements

• 3-5 years of experience in claims within an HMO, Medicare Advantage, and/or IPA environment

• A minimum of 1-2 years of experience in conducting oversight audits of delegated entities and/or ancillary providers

• Strong understanding of Medicare audit processes

• Outstanding organizational skills

• Excellent verbal and written communication abilities

🏝️ Benefits

• Health insurance

• 401(k) matching

• Paid time off

• Opportunities for professional development