Auditor, Delegate Claims
Alignment Health(11 days ago)
About this role
The Auditor, Delegate Claims at Alignment Health is responsible for executing claims audits to ensure compliance with regulatory and contractual standards. The role involves working with delegated provider organizations to improve performance, validating corrective actions, and reporting audit findings. It is a key part of maintaining regulatory readiness and enhancing oversight effectiveness in a healthcare setting.
Required Skills
- Claims Auditing
- CMS Compliance
- Regulatory Standards
- Data Analysis
- Auditing
- Claims Processing
- Medical Terminology
- Quality Assurance
- Microsoft Office
- HIPAA
Qualifications
- High School Diploma
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