Audit Training Coordinator - CFHP

Community First Health Plans; San Antonio (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

Community First Health Plans in San Antonio, Texas is looking for a dedicated professional to oversee and maintain audit and training programs across all business lines as they relate to the claim cycle. You will collaborate with management to develop and sustain a high-performing business unit.

The ideal candidate must have a high school diploma or equivalency, at least five years of experience in the insurance or managed care sectors, and five years of supervisory experience. Join our team to champion improvements in quality and training.

Qualifications

• Minimum of five years experience in insurance, medical, or managed care environment, including two years at the processor level required.
• Minimum of five years supervisory experience required.

Responsibilities

• Responsible for oversight and maintenance of audit and training programs for all lines of business as it relates to claim cycle.
• Coordinates training activities required for compliance with applicable policies and procedures.
• Champions improvements in quality and training.

Education

High school diploma or equivalency

Job description

POSITION SUMMARY/RESPONSIBILITIES

Responsible for oversight and maintenance of audit and training programs for all lines of business as it relates to claim cycle. Coordinates training activities required for compliance with applicable policies, procedures rules, regulations and standards. Works in partnership with Vice President and operations management to develop and sustain a consistently high performing business unit based on specific metrics and deliverables. Champions improvements in quality and training.

EDUCATION/EXPERIENCE

High school diploma or equivalency is required. Minimum of five years experience in insurance, medical, or managed care environment, including two years at the processor level required. Minimum of five years supervisory experience required.