Job Title: Compliance Administrator

Type: Contract Assignment

Start Date: ASAP

End Date: 6/30/23

Location: Foothill Ranch CA

Hybrid, the individual in Foothill Ranch office minimum of one day per week.

Work hours: Mon-Friday (8 am-5 pm PST)

Pay Rate: $30/hour

Job Description:

• Thoroughly prepares, researches, and completes California Department of Managed Health Care (DMHC) reports and amendment filings, business partners/carrier reporting requirements, and any other requirements set by state and federal agencies (including, but not limited to Medicare Advantage (MA), Department of Insurance (DOI), and Employee Retirement Income Security Act (ERISA)).

• Reviews related regulations and performs analysis to assure all requirements are met and filed within the deadline.

• Thoroughly and timely tracks reporting deadlines by month and logs all in-process and completed reports.

• Prepares and/or oversees internal claims and quality management/utilization management audit results and findings.

• Prepares documents for presentation to the Quality Management Committee, Public Policy Committee, Board of Directors, and Management Team.

• Provides oversight of the compliance work plan and monitoring functions and activities including risk assessment.

Skills Needed:

• Attention to detail with excellent organizational skills.

• Self-motivated with the ability to prioritize tasks and take initiative.

• Excellent verbal and written communication skills with the ability to formulate document content.

• Ability to maintain the confidentiality of company documents and information.

Qualifications:

• _ Experience with regulatory filings, particularly with the California Department of Managed Health Care (DMHC) – PREFERRED_

• Experience performing monitoring and oversight activities

• Regulatory research experience

• Experience with external or internal audits

• Knowledge of Department of Insurance and CMS/Medicare regulations, a plus

INDHP

Job Type: Contract

Pay: $28.00 - $30.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Foothill Ranch, CA 92610: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Do you have experience with the California Department of Managed Health Care (DMHC) reports?

Work Location: Hybrid remote in Foothill Ranch, CA 92610