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Compliance auditor at Jefferson Health Plans

Location: Scranton, Pennsylvania, us

Job Summary:

Job Duties and Scopes
- Conduct non-clinical audits to ensure compliance with federal and state laws.
- Act as a liaison between compliance, operational areas, and vendors for audits.
- Manage audits and coordinate external audit requests.
- Identify and document audit findings and corrective actions.

Required Skills
- Knowledge of federal/state compliance requirements.
- Proficiency in remote working platforms (e.g., Microsoft Teams, Zoom).
- Strong analytical and problem-solving skills.
- Excellent written and oral communication abilities.

Required Experiences
- Bachelor’s degree required; Master’s preferred.
- 3+ years of managed care experience in healthcare compliance preferred.
- 2+ years of compliance or operational audit experience required.

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