Compliance Auditor – The Health Plan of West Virginia, Inc. – Wheeling, WV

The Compliance Auditor is expected to assist the Government Compliance Officer in all areas of corporate compliance.

The Compliance Auditor is expected to conduct program audits, manage projects and perform additional duties as deemed appropriate by the Government Compliance

  • College degree with courses in business, health care law, health care reimbursement, health care administration or comparable experience in health care compliance and/or health plan operations.
  • Knowledge of auditing principles and risk assessment processes.

Preferred:

  • Experience in managed care or health care compliance, with emphasis in corporate compliance, Medicare Advantage, Medicaid, marketing, enrollment, pharmacy compliance, customer service, provider relations and/or HIPAA privacy.
  • Experience in navigating health care regulations such as those issued by Medicare, Medicaid and the Affordable Care Act.
  • Strong organizational, verbal and written communication skills.
  • Ability to multi-task, manage projects and produce deliverables within established time frames.
  • Intermediate to advanced knowledge of Microsoft Office systems – Word, Excel and PowerPoint and the ability to learn other software systems.
  • Certified in health care compliance or comparable certification, or if not certified, willing to become certified.
  • Must be able to work independently.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Experience:

  • auditing principles and risk assessment processes: 1 year (Required)
  • Microsoft Office Programs: 1 year (Required)
  • Healthcare law: 1 year (Preferred)
  • Healthcare reimbursement: 1 year (Preferred)
  • managed care: 1 year (Required)
  • managing HIPAA privacy program: 1 year (Preferred)
  • Healthcare administration: 1 year (Preferred)

Education:

  • Associate (Required)

Location:

  • Wheeling, WV (Required)

License:

  • health care compliance (Preferred)

Work authorization:

  • United States (Required)

Work Location:

  • One location

Source: Indeed.com
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