Compliance Auditor II — Elevate Healthcare Compliance

IEHP; Rancho Cucamonga (CA); On-site; USD 80,059 - 106,059; Full time

Benefits offered by this job

Competitive salary

On-site fitness center

Medical, dental, vision

Life and disability insurance

Career development

Wellness programs

FSA health/childcare

CalPERS retirement

457(b) match

Pet care insurance

Job summary

IEHP is seeking a Compliance Auditor II to conduct comprehensive audits across the Plan, ensuring adherence to Federal, State, and contract requirements. You will identify risks, draft findings, and develop corrective action plans, overseeing reviews of operations, policies, and processes.

The role requires strong knowledge of California managed care regulations, excellent written and verbal communication, and the ability to operate with minimal supervision. Hybrid work options available.

Qualifications

• Minimum five (5) years in managed care operations.
• Professional audit experience.
• Experience with California managed care regulations.
• Two (2) years of audit or quality assurance/quality improvement experience.
• Bachelor’s degree required; four years of additional relevant work experience may substitute.
• Certifications preferred: CIA, CHC, CHA, CHIAP.

Responsibilities

• Conduct comprehensive audits across the Plan and delegates to ensure compliance with regulatory requirements.
• Identify and assess risks; draft audit findings and actionable recommendations.
• Evaluate operations, policies, and processes for compliance and effectiveness.
• Issue corrective action plans and monitor acceptance and remediation.
• Participate in special reviews as necessary.

Skills

Audit standards

Risk assessment

Regulatory compliance

Data interpretation

Written communication

Problem solving

Microsoft Office

Education

Bachelor’s degree

Alternative experience for degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

IEHP is seeking a Compliance Auditor II to conduct comprehensive audits across the Plan, ensuring adherence to Federal, State, and contract requirements. You will identify risks, draft findings, and develop corrective action plans, overseeing reviews of operations, policies, and processes.

The role requires strong knowledge of California managed care regulations, excellent written and verbal communication, and the ability to operate with minimal supervision. Hybrid work options available.