Delegated Network Audit Leader - Compliance & Readiness

Independent Living Systems; Glendale (CA); On-site; USD 76,000 - 112,000; Full time

Job summary

Independent Living Systems (ILS) seeks a Delegated Network Audit Manager in Glendale, CA to coordinate audit readiness and governance for our delegated network. The role focuses on credentialing oversight, compliance monitoring, and supporting the Quality Improvement and Health Equity Program.

Responsibilities include leading audits, preparing dashboards and governance metrics, and partnering with operations to develop corrective action plans while ensuring alignment with DHS CalAIM requirements

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Administration, Public Health, or related field, or equivalent combination of education and relevant experience.
• Minimum of 3 years of experience in healthcare operations, managed care, provider enrollment, credentialing, compliance, audit, or a related healthcare function.
• Experience supporting regulatory compliance, delegated network oversight, payor audits, or compliance monitoring.
• Strong understanding of healthcare operational workflows and compliance standards.
• Excellent analytical, organizational, and communication skills.
• Relevant experience may substitute for educational requirement on a year-for-year basis.

Responsibilities

• Demonstrates commitment to Our Mission and models ILS Experience Standards of Excellence.
• Lead coordination of delegated network audit readiness, including documentation collection, evidence validation, and audit support for payor reviews, pre-delegation assessments, and compliance evaluations.
• Coordinate audits while maintaining centralized audit documentation, repositories, and supporting materials.
• Monitor delegated network compliance with DHS CalAIM program requirements, internal policies, and SLAs.
• Identify compliance gaps, operational risks, and documentation deficiencies while tracking trends and escalating high-risk concerns as appropriate.
• Partner with operational leaders to develop, monitor, and track corrective action plans (CAPs), remediation activities, and audit follow-up efforts.
• Prepare dashboards, compliance reports, leadership updates, and governance metrics to support organizational oversight and decision-making.
• Assist with the development, maintenance, and continuous improvement of delegated network policies, procedures, crosswalks, and audit readiness documentation.
• Serve as a trusted resource on delegated compliance, governance, and audit readiness while driving continuous process improvement across the delegated network.

Skills

Analytical skills

Organizational skills

Communication skills

Healthcare operations experience

Education

Bachelor’s degree in Healthcare Administration, Business, Administration, Public Health, or related field

Job description

Independent Living Systems (ILS) seeks a Delegated Network Audit Manager in Glendale, CA to coordinate audit readiness and governance for our delegated network. The role focuses on credentialing oversight, compliance monitoring, and supporting the Quality Improvement and Health Equity Program.

Responsibilities include leading audits, preparing dashboards and governance metrics, and partnering with operations to develop corrective action plans while ensuring alignment with DHS CalAIM requirements