Program Integrity Specialist II (Defined Term)
Central California Alliance for Health(1 month ago)
About this role
The Program Integrity Specialist II is a mid-level compliance role at the Alliance supporting the organization’s compliance program and safeguarding member access to quality healthcare. This defined-term, fully benefited position works within the Compliance Department to support program integrity, privacy oversight, and compliance activities for a regional Medi-Cal managed care plan. The role operates in a hybrid work environment and serves communities across specified California zones.
Required Skills
- Investigations
- Program Administration
- Privacy Compliance
- HIPAA
- Microsoft Office
- Data Accuracy
- Multitasking
- Medi-Cal
- Medicare Advantage
- Research Analysis
+4 more
Qualifications
- Bachelor’s Degree in Healthcare Administration, Public Health Administration, Criminal Justice, Finance, or Related Field
- Master’s Degree (may substitute for two years of required experience)
About Central California Alliance for Health
thealliance.healthCentral California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.
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