Claims Delegation & External Audit Supervisor

Astrana Health, Inc.; Monterey Park (CA); Hybrid; USD 78,000 - 91,000; Full time

Benefits offered by this job

Hybrid work structure

Hybrid in-office/remote

Job summary

Astrana Health, Inc. is seeking a Supervisor - Claims Delegation Oversight to lead external audits and govern the audit program for health plan audits (DMHC, CMS, DHCS). You will drive strategy, CAP management, and data-driven improvements in claims processing and compliance.

The role is hybrid in Monterey Park, CA, with a salary range of $78,000–$91,000/year and opportunities to collaborate across IT, Analytics, and Operations teams.

Qualifications

• 3+ years of claims administration experience in a health plan/IPA/MSO setting.
• Experience with health plan audits delegation audit functions and oversight.
• Strong leadership and coaching能力 (能力) to drive team performance.

Responsibilities

• Lead external audits planning, execution, and support.
• Oversee end-to-end audit lifecycle for health plan and DMHC/CMS audits.
• Create and monitor metrics for audit execution and outcomes.
• Ensure timely preparation and review of supporting documents.

Skills

Leadership

Auditing

Regulatory knowledge

Excel

Analytical thinking

Education

Bachelor’s degree or equivalent

Tools

MS Excel

Job description

Astrana Health, Inc. is seeking a Supervisor - Claims Delegation Oversight to lead external audits and govern the audit program for health plan audits (DMHC, CMS, DHCS). You will drive strategy, CAP management, and data-driven improvements in claims processing and compliance.

The role is hybrid in Monterey Park, CA, with a salary range of $78,000–$91,000/year and opportunities to collaborate across IT, Analytics, and Operations teams.