Installation Project Auditor & Process Improver

Western Growers; Irvine (CA); On-site; USD 70,000 - 100,000; Full time

Job summary

Western Growers is seeking an Installation Auditor to ensure accurate setup of health benefit plans and to oversee new business installations from submission to completion.

The role involves auditing documentation for WGAT and PCMI compliance, evaluating workflows, leading process improvements, and coordinating with Claims, Audit, Installation, Customer Service and Information Services teams to drive efficient implementations.

Qualifications

• Experience auditing health plan submissions and renewals.
• Ability to coordinate cross-department projects.
• Familiarity with HIPAA requirements and data protection.

Responsibilities

• Audit the submissions for each new client/group with the third-party administrator (TPA) or MEWA.
• Audit all plan changes and renewal paperwork for compliance, completeness, required forms, accuracy and content.
• Conduct pre-installation audits to determine if new systems or programs developed or under development will work as planned.
• Act as liaison between cross functional departments to handle and direct intra-company workflow issues and develop new or enhanced processes and procedures.
• Test and validate new programs and products for compliance with department business requirements and validate results to management.

Skills

Audit

Process improvement

Cross-functional collaboration

HIPAA compliance

Documentation

Job description

Western Growers is seeking an Installation Auditor to ensure accurate setup of health benefit plans and to oversee new business installations from submission to completion.

The role involves auditing documentation for WGAT and PCMI compliance, evaluating workflows, leading process improvements, and coordinating with Claims, Audit, Installation, Customer Service and Information Services teams to drive efficient implementations.