Compliance Specialist, Delegation Oversight, Needed!

HealthCare Talent; Camarillo (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

HealthCare Talent is searching for a Compliance Specialist, Delegation Oversight, to ensure regulatory compliance in a growing healthcare organization. The role involves managing compliance program activities and oversight functions.

Candidates must have experience in managed care auditing, strong knowledge of regulations, and excellent communication skills. A BA or BS is required or extensive experience in the field. This full-time position is located in Camarillo, California.

Qualifications

• Experience in managed care auditing is required.
• Ability to interpret regulations and understand contractual agreements.
• Ability to travel for audits.

Responsibilities

• Maintain federal regulatory compliance for all pertinent matters.
• Perform compliance program activities including coordination of delegation oversight.

Skills

Managed Care Plan Experience

Strong computer skills

Strong knowledge of regulation

Excellent oral and written communication skills

Detail oriented

Education

BA or BS in relevant field or 10+ years managed care experience

Tools

Compliance 360 system

Job description

Compliance Specialist, Delegation Oversight, Needed!

Full‑time

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 perform compliance program activities including coordination of delegation oversight activities to ensure compliance with requirements.

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 a 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.