Program Integrity Specialist II (Defined Term)
Central California Alliance for Health(1 month ago)
About this role
Program Integrity Specialist II is a defined-term, benefited role within the Compliance Department focused on supporting the Alliance's compliance program and protecting organizational integrity and member access to quality healthcare. The position is part of a Compliance Division that handles audits, monitoring, privacy, fraud/waste/abuse concerns, and prevention activities. This mid-level role is time-limited (through December 31, 2026) and operates in a hybrid work environment.
Required Skills
- Investigations
- Program Integrity
- Privacy Compliance
- Research
- Analysis
- Reporting
- Auditing
- Microsoft Office
- Excel
- Word
+10 more
Qualifications
- Bachelor's Degree in Related Field
- Master's Degree (May Substitute)
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.
Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Central California Alliance for Health
Legal Services Director
Central California Alliance for Health(4 days ago)
Medical Director (Defined Term)
Central California Alliance for Health(7 days ago)
Medical Director (Defined Term)
Central California Alliance for Health(7 days ago)
Medical Director (Defined Term)
Central California Alliance for Health(7 days ago)
Similar Jobs
Medical Claims Auditor
Clover Health(11 days ago)
Investigator, SIU
Clover Health(11 days ago)
Primary Care Provider, Nurse Practitioner / Physician Assistant
WelbeHealth(8 days ago)
Senior Care Advisor
WelbeHealth(21 days ago)
Senior Investigator
Clover Health(11 days ago)
Primary Care Provider, Nurse Practitioner / Physician Assistant
WelbeHealth(1 day ago)