Medical Management Compliance Specialist - Medical Administration - Position #2022-204

MEDICAL MANAGEMENT COMPLIANCE SPECIALIST - MEDICAL ADMINISTRATION (REMOTE) - Position #2022-204

Date Posted:
Classification:
Administrative
Type
Full Time
Location
OPEN UNTIL FILLED Redlands (Remote) Monday - Friday 8:00a.m. - 5:00p.m.

Job Description

The Medical Management Compliance Specialist coordinates all Medical Management compliance activities with contracted health plans and regulatory entities such as CMS, DMHC, and DHCS. The Compliance Specialist has the primary responsibility for ensuring timely and accurate data is collected, validated, and submitted to various clients, providers, and health plans based on regulatory requirements and contractual agreements. The Compliance Specialist also coordinates all compliance auditing activities with the Compliance RNs, and all levels of Medical Management leadership.

Qualifications

High School diploma or equivalent. Bachelor’s degree or higher in health care related field preferred. Two years of broadly based, multi-tasking clerical/secretarial experience. Basic knowledge of data collection and validation process. At least two years of experience in a medical, managed care or health care setting. Possess a basic knowledge of CPT/ICD codes preferred.

 

Beaver Medical Group requires all new hires and employees to report their COVID-19 vaccination status

 

Applications must be complete and demonstrate that the minimum qualifications are met. Resumes may be attached to completed application form as supplemental information, but will not be accepted in lieu of an official application form. Applications will be screened and the most qualified candidates who best match the needs of the position will be invited to compete further in the recruitment process.  Due to the large volume of applications received, we are unable to track for individual applications or discuss the application process.

 

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