Delegation Oversight & Audit Champion

Champion Health Plan; Long Beach (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

Champion Health Plan is looking for a Delegation Oversight Specialist in Long Beach, California. This role involves overseeing health plan delegation oversight and compliance through audits and performance monitoring. Candidates should have a Bachelor’s degree in a relevant field and experience in a managed care environment. Proficiency in Microsoft Office and familiarity with NCQA standards is essential. Join a mission-driven team focused on improving healthcare accessibility and effectiveness.

Qualifications

• Bachelor’s degree in Healthcare Administration, Public Administration, Health Policy, or a related field.
• Experience working in a managed care organization, HMO, MSO, or health plan setting.
• Working knowledge of NCQA standards, CMS, DMHC, and DHCS regulatory requirements.

Responsibilities

• Prepare and submit pre-audit documentation.
• Coordinate and conduct oversight audits for compliance.
• Serve as the main contact for auditors during audits.

Skills

Experience in healthcare operations

Organizational skills

Analytical skills

Written/verbal communication skills

Advanced proficiency in Microsoft Office Suite

Education

Bachelor’s degree in Healthcare Administration or related field

Master’s degree preferred

Tools

Microsoft Office Suite

Quick CAP

EZ-CAP

Job description

Champion Health Plan is looking for a Delegation Oversight Specialist in Long Beach, California. This role involves overseeing health plan delegation oversight and compliance through audits and performance monitoring. Candidates should have a Bachelor’s degree in a relevant field and experience in a managed care environment. Proficiency in Microsoft Office and familiarity with NCQA standards is essential. Join a mission-driven team focused on improving healthcare accessibility and effectiveness.