Senior Health Plan Auditor

Overview

Make a real impact on the healthcare landscape of Los Angeles County! As a Senior Health Plan Auditor with our client, a prominent public health plan, you’ll play a vital role in ensuring financial stability and compliance within the healthcare system. Your expertise will directly contribute to the well-being of millions of members by guaranteeing they receive the right care at the right time.
This is an exciting opportunity to join a mission-driven organization dedicated to providing access to quality healthcare for vulnerable and low-income communities. You’ll be a key player in upholding the integrity of healthcare operations and ensuring compliance with regulations and contractual agreements. Your contributions will have a tangible impact on the financial health and stability of the health plan.

As a Senior Health Plan Auditor, you will:

• Conduct comprehensive financial audits and analyses for specialty health plans and vendors.
• Perform claims audits to ensure compliance with regulatory and contractual requirements.
• Develop and implement standardized workpapers and reporting templates.
• Document and maintain departmental policies and procedures.
• Oversee the collection and submission of quarterly and annual regulatory filings.
• Collaborate with interdepartmental personnel, leadership, health plans, and vendors.
• Support the design, implementation, and reporting of special projects.
• Mentor and train junior staff members.

Must-Have Qualifications:

• Bachelor’s degree in Accounting or a related field (or equivalent experience).
• 3+ years of experience in conducting financial audits.
• 5+ years of experience in the managed healthcare industry.
• 2+ years of accounting experience.
• One of the following certifications: CPA, CMA, CIA, or CFE.
• Strong analytical, critical thinking, and communication skills.
• Proficiency in Microsoft Office Suite (Excel, PowerPoint, and SharePoint).

Nice-to-Have Qualifications:

• Experience with regulatory filings and compliance.
• Experience with process improvement initiatives.
• Experience mentoring and training junior staff.

The target hiring compensation range for this role is $55.53/hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location.

About Aquent Talent:
Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment—one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.

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