Claims & Provider Relations Oversight Specialist

Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist to support compliance and regulatory operations within the Claims and Provider Relations department. This role ensures departmental compliance with federal and state regulations, accreditation standards, and internal policies while serving as a key resource for audits, regulatory filings, reporting, and compliance initiatives. The ideal candidate is organized, analytical, and collaborative, with experience in California managed care, claims and provider operations, and healthcare compliance.