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, defined-term position within the Compliance Department of a regional Medi‑Cal managed care organization. The role contributes to the Compliance Division's mission to interpret requirements, mitigate risk, and maintain a culture of compliance across internal teams and external partners. This is a hybrid, fully benefited position designated through December 31, 2026.
Required Skills
- Investigations
- Fraud Detection
- Privacy Compliance
- Program Integrity
- Audit Monitoring
- Research Analysis
- Data Reporting
- Microsoft Office
- Excel
- Contract Interpretation
+6 more
Qualifications
- Bachelor's Degree in Healthcare Administration, Public Health, Criminal Justice, Finance or Related Field
- Master's Degree (May Substitute for Two Years' 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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