Prokatchersllc

Prokatchersllc

RN Auditor

Camarillo, CA, United States · Staff+

Sponsorship not specifiedDetected 3379 days ago
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About the role

  • Earning the right to be good at it - comes from a very deep desire to make that perfect match.
  • We have: Built the most extensive database of candidates domain specific.
  • Assist Health Plan staff in the development and routing of the audit findings.

Responsibilities

  • Lead/Coordinate the scheduling of delegation oversight audits.
  • Maintain accurate recordkeeping of all delegation oversight audits and ensure all deadlines are met.

Requirements

  • ICE, NCQA, the Plan's policies and procedures and other State and Federal guidance tools as required.

Nice to have

  • 3 plus years of experience in an audit, compliance or delegation oversight role
  • preferably in a managed care environment

Skills

  • Built the most extensive database of candidates domain specific.
  • Business, Health Sciences, Managed Care
  • Registered Nurse (RN).Required

Benefits

  • Provide administrative support to Health Plan staff in the acquisition and distribution of files for audit.

Equal opportunity

  • All your information will be kept confidential according to EEO guidelines.

This listing is sourced directly from Prokatchersllc's careers page and normalized into a canonical job model.