Job Description
Make a real impact on healthcare accessibility and affordability as a Financial Compliance Auditor with a mission-driven organization partnered with Aquent. You will play a vital role in ensuring the financial integrity and regulatory compliance of healthcare claims, directly contributing to the organization’s mission of providing accessible and equitable healthcare services. This is an exceptional opportunity to leverage your expertise in claims auditing and financial compliance within a dynamic and purpose-driven environment.
As a key member of the Financial Compliance team, you will conduct audits of claims processed by medical groups and health plans. Your meticulous attention to detail and analytical skills will be essential in identifying and resolving issues, ensuring compliance with contractual and regulatory requirements. You will also contribute to various critical tasks, including data reporting, financial statement analysis, and plan partner oversight. This role offers a unique opportunity to make a tangible difference in the healthcare landscape.
What You’ll Do:
- Perform comprehensive audits of claims processed by medical groups and health plans, ensuring compliance with contractual and regulatory requirements.
- Identify and resolve issues related to claims processing in a timely and efficient manner.
- Prepare accurate and detailed audit reports, clearly communicating findings and recommendations.
- Conduct data analysis and reporting, contributing to key performance indicators and compliance monitoring.
- Perform financial statement analysis, providing insights into financial performance and stability.
- Oversee plan partners, ensuring compliance with contractual obligations and regulatory standards.
- Contribute to special projects and initiatives as assigned, leveraging your expertise to enhance financial compliance processes.
Must-Have Qualifications:
- Bachelor’s degree in a related field.
- Minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines.
- Strong knowledge of healthcare regulations and compliance requirements.
- Excellent analytical, problem-solving, and critical thinking skills.
- Ability to work independently and as part of a team.
- Excellent written and verbal communication skills.
Nice-to-Have Qualifications:
- Master’s degree in a related field.
- Experience with various healthcare benefit programs.
- Knowledge of medical records systems applications.
The target hiring compensation range for this role is $53.53 – $55.53 an hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location.
About Aquent Talent:
Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.
#LI-BS1
Make a real impact on healthcare accessibility and affordability as a Financial Compliance Auditor with a mission-driven organization partnered with Aquent. You will play a vital role in ensuring the financial integrity and regulatory compliance of healthcare claims, directly contributing to the organization’s mission of providing accessible and equitable healthcare services. This is an exceptional opportunity to leverage your expertise in claims auditing and financial compliance within a dynamic and purpose-driven environment.
As a key member of the Financial Compliance team, you will conduct audits of claims processed by medical groups and health plans. Your meticulous attention to detail and analytical skills will be essential in identifying and resolving issues, ensuring compliance with contractual and regulatory requirements. You will also contribute to various critical tasks, including data reporting, financial statement analysis, and plan partner oversight. This role offers a unique opportunity to make a tangible difference in the healthcare landscape.
What You’ll Do:
- Perform comprehensive audits of claims processed by medical groups and health plans, ensuring compliance with contractual and regulatory requirements.
- Identify and resolve issues related to claims processing in a timely and efficient manner.
- Prepare accurate and detailed audit reports, clearly communicating findings and recommendations.
- Conduct data analysis and reporting, contributing to key performance indicators and compliance monitoring.
- Perform financial statement analysis, providing insights into financial performance and stability.
- Oversee plan partners, ensuring compliance with contractual obligations and regulatory standards.
- Contribute to special projects and initiatives as assigned, leveraging your expertise to enhance financial compliance processes.
Must-Have Qualifications:
- Bachelor’s degree in a related field.
- Minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines.
- Strong knowledge of healthcare regulations and compliance requirements.
- Excellent analytical, problem-solving, and critical thinking skills.
- Ability to work independently and as part of a team.
- Excellent written and verbal communication skills.
Nice-to-Have Qualifications:
- Master’s degree in a related field.
- Experience with various healthcare benefit programs.
- Knowledge of medical records systems applications.
The target hiring compensation range for this role is $53.53 – $55.53 an hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location.
About Aquent Talent:
Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.
#LI-BS1
About Aquent Talent
Business priorities can change in a flash. So we believe in the power of a flexible workforce—the extended workforce, temporary talent, freelancers, and contractors—to help organizations be more nimble. When it comes to talent, we also believe work doesn’t have to be about the four walls of an office, a 9-to-5 schedule, or a traditional career path.
Your career. Your call. We believe talent should be in the driver’s seat of their careers, equipped with the tools, skills, and autonomy to create the careers they want. At the same time, they shouldn’t have to go it alone when it comes to job searching and career decisions—they deserve a partner to coach them along the way.
It’s clear. A diverse workplace delivers better outcomes for organizations and talent. Creating an inclusive environment—one that values different backgrounds, experiences, and perspectives—is critical to everyone’s growth and success. So we believe in going all in. See how.
Amazing benefits—for all. We believe talent should be on the same playing field as traditional employees, especially when it comes to employee benefits. That means things like comprehensive health insurance, paid sick leave, retirement plans, and more.
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