Managed Care Plan Experience – Required
Claims background
Strong computer skills, ability to learn different computer software systems
Strong knowledge of regulation as it pertains to managed care, i.e. title 22, title 28
Ability to interpret regulations
Ability to travel for audits
Ability to write comprehensive reports
Excellent oral and written communication skills
Must meet deadlines in timely manner
Detail oriented
Skills and Education:
Managed Care Auditing experience
Compliance 360 system knowledge
Ability to understand contractual agreements as it pertains to delegation
BA or BS required unless 10+ years in managed care experience.
If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today!
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Job details are sourced from the employer's original posting.
Open job postingAbout the company
Healthcare Talent is assisting our client in their search for a Compliance Specialist, Delegation Oversight, for a vital position in their rapidly growing healthcare organization. In accordance with organizational policies, the candidate will maintain federal regulatory compliance for all pertinent matters and will performs compliance program activities including coordination of delegation oversight activities to ensure compliance with requirements.