Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the direction of the Senior Director of Financial Compliance, the Director of Financial Compliance is responsible for leading, directing, and coordinating all auditing and monitoring activities related to financial viability and claims processing requirements. The Director, Financial Compliance is responsible for the oversight and operational activities of the following units: IPA Financial Compliance, Internal Claims Oversight, Delegated Network Claims Oversight, and Overpayment Reconciliation and Reporting, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
- Competitive salary.
- Hybrid schedule.
- CalPERS retirement.
- State of the art fitness center on-site.
- Medical Insurance with Dental and Vision.
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development.
- Wellness programs that promote a healthy work-life balance.
- Flexible Spending Account – Health Care/Childcare
- CalPERS retirement
- 457(b) option with a contribution match
- Paid life insurance for employees
- Pet care insurance
Qualifications
Education & Experience
- A minimum of seven (7) years of experience leading, managing and motivating teams in a managed care environment is required.
- Five (5) years of experience overseeing claims processing and financial viability audits required.
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, or other related field from an accredited institution required.
- In lieu of the required degree, a minimum of eight (8) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.
Key Qualifications
- Must have a valid California Driver's License.
- Must have knowledge of the principles and practices of managed care as well as Medi-Cal and Medicare programs, regulations, and reporting requirements.
- Must have knowledge of Generally Accepted Accounting Principles (GAAP) and solid understanding of DMHS, DHCS, and CMS rules governing financial compliance.
- Strong leadership, sound decision-making and strong organizational skills.
- Excellent oral and written communication skills.
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
USD $77.38 - USD $119.09 /Hr.